The Effect of Midwife Education on MPASI Containing Prebiotics on Maternal Compliance in Giving MPASI

Authors

  • Titi Purwitasari Handayani Karsa Husada Institute of Health Sciences, Garut, Indonesia
  • Resty Noflidaputri Universitas Fort De Kock, Indonesia

DOI:

https://doi.org/10.69855/bidan.v3i1.596

Keywords:

Education, Midwives, Prebiotics, Compliance, MPASI

Abstract

Timely, adequate, and quality complementary feeding (MPASI) is important to support infant growth and development. However, limited maternal knowledge and insufficient education from health workers, especially midwives, often lead to inappropriate feeding practices. Therefore, educational interventions are needed to improve maternal understanding and compliance with complementary feeding recommendations. This study aimed to determine the effect of midwife-led education on maternal compliance in providing complementary feeding containing prebiotics. This study used a quantitative quasi-experimental design with a pretest–posttest control group approach. The research was conducted in the working area of the Mining Health Center, Kampar Regency, Riau Province. A total of 60 mothers with infants aged 6–12 months were selected using purposive sampling and divided into intervention and control groups, each consisting of 30 participants. The intervention included counseling sessions, leaflets, and interactive discussions about prebiotic-containing complementary feeding. Data were collected using a validated compliance questionnaire. The results showed that before the intervention, most mothers in the intervention group had low compliance (66.7%). After the intervention, high compliance increased to 73.3%, while the control group showed lower compliance (36.7%). Chi-square analysis showed a significant effect of midwife education on maternal compliance (p=0.002). These findings indicate that midwife-led education effectively improves maternal compliance in providing appropriate complementary feeding containing prebiotics.

References

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., … & Uauy, R. (2021). Global burden of child malnutrition: Trends and causes. The Lancet, 397(10282), 257–274. https://doi.org/10.1016/S0140 6736(21)00060 9

Champion, V. L., & Skinner, C. S. (2020). The Health Belief Model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health Behavior: Theory, Research, and Practice (5th ed., pp. 75–93). Jossey Bass.

Deci, E. L., & Ryan, R. M. (2020). Self Determination Theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.

Gibson, G. R., Hutkins, R., Sanders, M. E., Prescott, S. L., Reimer, R. A., Salminen, S. J., … & Reid, G. (2020). Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nature Reviews Gastroenterology & Hepatology, 18(7), 649–667. https://doi.org/10.1038/s41575 020 0344 2

Glanz, K., Rimer, B. K., & Viswanath, K. (2021). Health behavior and health education: Theory, research, and practice. Jossey Bass.

Hidayati, N., Pratiwi, D. F., & Nurjannah, S. (2021). Effect of nutrition education on complementary feeding practices in Indonesian toddlers: A community based study. Journal of Nutrition and Health Sciences, 8(2), 115–124. https://doi.org/10.26502/jnhs.93650033

Knowles, M. S., Holton, E. F. III, & Swanson, R. A. (2020). The Adult Learner: The definitive classic in adult education and human resource development. Routledge.

Ministry of Health Republic of Indonesia. (2022). Profile of Indonesian health 2022. Jakarta: Kemenkes RI.

Ministry of Health Republic of Indonesia. (2023). Indonesian health profile 2023. Jakarta: Kemenkes RI.

Notoatmodjo, S. (2020). Health promotion and behavioral science. Jakarta: Rineka Cipta.

Putri, A. L., Sari, D. P., & Wijaya, E. (2022). Nutrition education and mothers’ feeding practices: Evidence from community health services in Indonesia. International Journal of Child Health and Nutrition, 11(3), 102–113. https://doi.org/10.6000/1929 4247.2022.11.03.1

Rahmawati, Y., Kurniawati, R., & Aisyah, S. (2021). Impact of maternal nutrition education on complementary feeding in Southeast Sulawesi. Maternal & Child Nutrition, 17(2), e13152. https://doi.org/10.1111/mcn.13152

Roberfroid, M. (2020). Prebiotics: Definition, types, sources, mechanisms, and clinical applications. Nutrition Today, 55(1), 39–44. https://doi.org/10.1097/NT.0000000000000382

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (2020). Social learning theory and the Health Belief Model. Health Education Quarterly, 47(2), 113–124. https://doi.org/10.1177/1090198120907600

Sari, A. C., Utami, D. M., & Putri, S. P. (2021). Mothers’ education level and complementary feeding practices among children aged 6 24 months in Central Java, Indonesia. PLOS ONE, 16(8), e0255708. https://doi.org/10.1371/journal.pone.0255708

Sari, D. P., & Putri, A. L. (2021). Interactive nutrition education strategies to improve complementary feeding practices: A systematic review. Journal of Nutrition Education and Behavior, 53(1), 46–55. https://doi.org/10.1016/j.jneb.2020.07.003

Slavin, J. (2021). Dietary prebiotics: Definition, chemical structure, and specific physiological functions. Food & Function, 12(6), 237–253. https://doi.org/10.1039/d0fo02280a

UNICEF. (2022). Infant and young child feeding practices. New York: UNICEF.

Utami, R., Nugroho, A. E., & Putri, N. A. (2023). Sustained effects of community nutrition education on infant feeding practices: A longitudinal study in Indonesia. Childhood Nutrition, 9(1), 55–65. https://doi.org/10.1111/cnu.12987

World Health Organization. (2021). Infant and young child feeding: Model chapter for textbooks for medical students and allied health professionals. WHO Press.

Yuliana, S., Saputri, R., & Kusumawati, A. (2023). Family and community support in complementary feeding: Effects on maternal feeding behavior. Journal of Community Nutrition, 15(2), 98–107. https://doi.org/10.1016/j.jcnut.2023.03.004

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Published

2026-06-02

How to Cite

Titi Purwitasari Handayani, & Resty Noflidaputri. (2026). The Effect of Midwife Education on MPASI Containing Prebiotics on Maternal Compliance in Giving MPASI. Bulletin of Inspiring Developments and Achievements in Midwifery, 3(1), 1–14. https://doi.org/10.69855/bidan.v3i1.596

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