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Inappropriate complementary feeding (MPASI) practices remain a public health concern, particularly during the first 1,000 days of life, as they contribute to the risk of growth disorders such as stunting. This study aimed to analyze the relationship between socioeconomic factors and maternal decision-making processes with complementary feeding practices based on consumer behavior theory. This study employed an observational analytic design with a cross-sectional approach involving 240 mothers with children aged 6–23 months in the working area of Puskesmas Putat Jaya, Surabaya. Data were collected through structured interviews and analyzed using the Chi-Square test. The results showed significant relationships between socioeconomic status and decision-making processes, as well as between decision-making processes and complementary feeding practices (p<0.05). Mothers with higher socioeconomic status tended to have better decision-making processes and more appropriate feeding practices. However, overall practices were not fully aligned with recommended standards. These findings indicate that improving complementary feeding practices requires not only knowledge enhancement but also strengthening maternal decision-making capacity within their socioeconomic context.

The provision of herbal-based complementary feeding (MP-ASI) has several positive impacts, including improving mothers’ understanding and skills in preparing complementary foods from local food ingredients in accordance with local customs and socio-cultural practices, thereby enabling mothers to independently continue providing local complementary feeding. This study aimed to determine the effect of training on the preparation of herbal-based complementary feeding for mothers of children under three years old on their knowledge and skills in preparing complementary feeding. This study employed a quasi-experimental research design and was conducted at Kanda Public Health Center. The population consisted of all mothers with children under three years old in the working area of Kanda Public Health Center, totaling 245 mothers. The sample size in this study was 35 respondents. The results of the analysis showed that there was a significant difference in mothers’ knowledge before and after the training on complementary feeding preparation, with a significance value of 0.000.

Stunting is a chronic nutritional disorder characterized by a child’s height being below the age-standard growth curve. One contributing factor is the mother’s knowledge regarding proper complementary feeding (MP-ASI). This study aims to determine the correlation between maternal knowledge of complementary feeding and stunting among children under five at Posyandu in the Bangetayu Health Center working area, Semarang. This research employed an analytical observational design with a case-control approach. A total of 60 respondents were selected using purposive sampling, consisting of 30 stunted and 30 non-stunted children. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The findings indicated that most mothers possessed good knowledge of complementary feeding (80%). Stunting prevalence among respondents was 41.7%. The Chi-Square test revealed a p-value of 0.000 (p < 0.05), demonstrating a significant relationship between maternal knowledge of complementary feeding and stunting. Mothers with poor knowledge were more likely to have stunted children compared to those with adequate understanding. These results highlight the crucial role of improving maternal nutrition knowledge to prevent stunting and support optimal child growth and development.

Low levels of maternal knowledge and appropriate nutritional practices, combined with limited continuity of nutrition education from health workers, remain significant risk factors for maternal and child health problems, including stunting. The GEMPITA Program (Gerakan Edukasi MPASI Tepat dan Aman / Safe and Appropriate Complementary Feeding Education Movement) was implemented as a community service initiative to improve nutritional knowledge, skills, and practices among families in the working area of Teratak Public Health Center. The program employed structured methods, including socialization, education, training, demonstrations, mentoring, and non-formal monitoring and evaluation. The target participants were mothers with children aged 6–24 months, as well as health workers and community health cadres. Program effectiveness was assessed using pretest posttest measurements and direct observation of behavioral changes. The results demonstrated a significant improvement in maternal knowledge regarding appropriate complementary feeding, enhanced skills in age-appropriate food preparation, and improved hygienic and nutritious feeding practices. In addition, the capacity of health workers to deliver nutrition education was strengthened. Overall, the GEMPITA Program proved effective in improving family nutrition practices and reinforcing the role of the public health center in stunting prevention through a sustainable community empowerment approach.

Stunting is a phenomenon of growth impairment experienced by infants and young children under 5 years of age, particularly toddlers aged 0–59 months. Based on Global Prevalence Data, approximately 21.9% to 22% of toddlers worldwide experience stunting. Several factors that contribute to stunting include breastfeeding and complementary feeding (MP-ASI) practices. This study aims to explore the association between experiences of exclusive breastfeeding and complementary feeding (MP-ASI) and the incidence of stunting among children in the Kampa Community Health Center area. The method used in this study was a cross-sectional approach. The study was conducted during the period of January 8–13, 2024, at the Kampa Community Health Center, involving toddlers aged 6–59 months, with a population of 1,576 toddlers. The sample consisted of 68 mothers who had stunted toddlers, measured using a height-for-age (H/A) Z-score of less than -2 standard deviations (SD). The sampling technique applied was total sampling. Data collection was carried out using a microtoise and questionnaires. Data analysis was performed using the Chi-square method. The findings showed a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with a P value of 0.00 < 0.05, as well as a significant relationship between exclusive complementary feeding (MP-ASI) and the incidence of stunting in toddlers with a P value of 0.04 < 0.05. It is recommended that health workers organize counseling classes on lactation and conduct demonstrations on how to prepare complementary foods (MP-ASI), focusing on the use of affordable local food ingredients that are rich in animal protein. In addition, continuous training for community health cadres needs to be carried out to improve early detection through accurate anthropometric measurements, so that toddlers at risk of stunting can be promptly managed.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.

Early complementary feeding is associated with digestive disorders in infants, including constipation. This literature review aims to explore the relationship between the timing of complementary food (MP-ASI) introduction and the incidence of constipation in infants aged 6–12 months. Using a qualitative descriptive method, the review includes 9 research articles published between 2013 and 2023 from databases such as Google Scholar, PubMed, and ScienceDirect. The findings show that early MP-ASI (before 6 months of age) significantly increases the risk of constipation due to the immaturity of the infant's gastrointestinal system and low dietary fiber intake. Most studies highlight the physiological limitations of the infant's digestive system under six months and the importance of appropriate food timing and content. The implication of this review supports WHO and national health guidelines recommending complementary feeding initiation at 6 months of age. It also emphasizes the need for health education at the community level to prevent functional constipation in early life through correct feeding practices.

Toddlers are a vulnerable group prone to health problems and malnutrition due to their rapid growth and high nutritional needs. Nutritional status serves as an indicator of adequate dietary intake, commonly assessed through weight and height measurements. Malnutrition, particularly among children aged 2-5 years, often occurs as they transition to family diets while maintaining high physical activity levels. Appropriate complementary feeding starting at six months (MP-ASI) is essential to support optimal growth and development. The Complementary Feeding Program includes porridge for infants aged 6-11 months and biscuits for children aged 12-24 months, aiming to improve nutritional status, especially among low-income families. Supplementary feeding (PMT) is an intervention designed to enhance the nutritional status of malnourished children without replacing their main daily meals. This study aims to examine the effect of the supplementary feeding program on weight changes among malnourished infants aged 6-11 months at the Tiley Health Center. A pre-experimental one-group pretest-posttest design was used with total sampling of 20 mothers with malnourished infants. Data were collected using questionnaires and weight observation sheets and analyzed using a paired t-test. The results showed a significant effect (p < 0.05), indicating that the supplementary feeding program improves infants’ weight.

Early complementary food is food or drink given to babies aged 6 months. The research objective was to determine the relationship between knowledge and attitudes of mothers and the provision of complementary feeding at PMB Irma Suryani, Prabumulih City in 2023. The research method is analytic in nature, using a cross sectional approach. The population of this study were all mothers who had babies aged ≥ 6 – 24 months at PMB Irma Suryani Prabumulih City in 2023. Sampling in this study used the Accidental Sampling method, namely 45 respondents. The research instrument is a questionnaire. From the bivariate analysis it was found that of the 33 respondents who had good knowledge, there were 30 respondents (66.7%) who gave complementary foods and from 12 respondents who had less knowledge, there were 5 respondents (11.1%) who gave complementary foods. From 37 respondents who had a good attitude, there were 33 respondents (73.3%) who gave complementary foods and of the 8 respondents who had a poor attitude, there were 2 respondents (4.4%) who gave complementary foods. It can be concluded that there is a significant relationship between knowledge and the provision of complementary foods with a P value 0.000 < α 0.05, there is a significant relationship between the mother's attitude and the provision of complementary foods with a P value 0.000 < α 0.05.

Stunting is a condition of impaired child growth due to chronic malnutrition during the 1,000 First Days of Life (HPK), affecting physical, cognitive, and social development. In Indonesia, stunting remains a major challenge, particularly among toddlers. Providing appropriate Complementary Feeding (MP-ASI) for children aged 6-24 months is key to prevention. This article discusses an educational program for stunting prevention through the development of MP-ASI menus in Saringembat Village. The program aims to increase community awareness of the importance of balanced nutrition through three main stages: determining MP-ASI menus, preparing educational materials, and conducting socialization and MP-ASI-making practices. The menus are divided into three age groups (6-8 months, 9-12 months, and over 12 months) using local ingredients such as catfish, spinach, and potatoes.The results show increased community understanding, the effectiveness of using local ingredients, and the success of hands-on practice. A final evaluation quiz indicated that most participants understood the concept of MP-ASI and stunting prevention. This program is expected to continue to help reduce stunting rates and create a healthier generation.

Breastfeeding (ASI) and complementary feeding (MP-ASI) are determinants of a baby's growth and development starting from the period 0 days or the day after birth until the age of 2 years. Providing nutritional intake that is less than required can cause long-term growth and development in children, which is permanent and difficult to repair. This study aims to determine the relationship between exclusive breastfeeding and MP-ASI with the growth and development of babies aged 6–12 months in the Harapan Baru Community Health Center Working Area, Samarinda City. Type of quantitative research with a cross sectional approach. The location of this research was carried out at the Posyandu in the Working Area of the Harapan Baru Community Health Center, Samarinda City. The sample in this study was mothers of babies 6-12 months with 84 respondents. Data collection was carried out using questionnaires and interviews. The data analysis technique uses the Spearman correlation non-parametric statistical test. The results of the study showed that there was a relationship between giving exclusive breastfeeding and the growth of babies aged 6-12 months (p=0.00), there was a relationship between giving breast milk and the development of babies aged 6-12 months (p=0.021), there was a relationship between giving MP-ASI and growth babies 6-12 months (p=0.022), and there is a relationship between giving MP-ASI and the development of babies 6-12 months (p=0.042). Increasing the provision of appropriate breast milk and MP-ASI is very important to achieve optimal growth and development of babies.  

The stunting rate of Acehnese toddlers ranks 31st out of 34 provinces in Indonesia at 37, 3 percent. This number indicates that stunting is one of the public health problems in Aceh and become a threat to future generations. This study aims to see the correlation between parenting and stunting incidences of toddlers in Kajhu Public Health Center, Baitussalam, Aceh Besar. This study was a descriptive-analytical study with a cross-sectional design. The interview and questionnaire were used as data collection instruments. The population was mothers with toddlers in Kajhu Public Health Center involving 77 respondents. The sample was determined by non-probability sampling, namely a total sampling technique. The sample was 77 respondents chosen by a Total Sampling technique. This study was done in March 2024 using the Chi-Square Test ( =95%). The result of univariate analysis shows that toddlers with stunting (59, 7%), exlusive breastfeeding (42, 9%), and complementary feeding (36, 4). Further, the result of the bivariate analysis reveals there is a correlation beetwen exclusive breastfeeding (p=0,035), and complementary feeding (P 0,052), towards the stunting incidences of toddlers in Kajhu Public Health Center, Baitussalam, Aceh Besar, 2024. This study recommends that the healthworkers improve the services of Posyandu for infants and toddlers, espicially thise with body weight problems and height to prevent malnutrition and stunting problens.

The complementary feeding of breast milk is additional food given to infants after the age of 6 months. Although breast milk is the best food for infants, after the age of >6 months, infants require more vitamins, minerals, proteins, and carbohydrates. The provision of complementary feeding aims to train and familiarize infants to consume foods that contain the nutrients needed by their bodies as they grow older. This community service activity uses a method of health education through providing information to the community about the importance of nutrition for children to prevent stunting, involving the roles of lecturers, health center officials, cadres, and students as responsible parties in community service. There were 17 mothers of toddlers who participated. With the implementation of community education at the integrated health service post (posyandu) regarding complementary feeding of breast milk for infants aged 6-8 months, the community gains a better understanding of the benefits of complementary feeding for infants aged 6-8 months.

In the health sector, the government plans to reduce stunting rates by 40% in 2025. This goal has been stated in the Infant and Young Child Feeding (IYCA) program. In practice, mothers make mistakes in feeding their children influencing the nutritional status of the children resulting in an inability to fulfill the child’s nutrition needs. This condition occurred due to a lack of knowledge and information during the IYCF period. This study aims to provide knowledge to mothers about the importance of complementary feeding made from local food ingredients. This case study analyzed the growth development and nutritional status of an 11-month-old baby. Subjective examination showed that the mother felt that her baby's nutritional status was lacking so she came to the clinic to have her baby checked. Objective examinations of the baby's weight and height were performed. The mother received local food-based nutritional counseling. Midwives provided education about the importance of complementary feeding made from local food ingredients and provided support to mothers to continue breastfeeding their babies. The midwives also provided cooking recipes and nutritional content of food made from local food ingredients to the mother so she could independently practice it.

Providing Complementary Food with Breast Milk (MP-ASI) to babies must pay attention to the recommended Nutritional Adequacy Rate (AKG) based on age group and food texture that is appropriate to the development of the toddler's age. This research aims to determine the relationship between maternal knowledge and attitudes and the provision of complementary foods for breast milk (Mp-Asi) in children aged 6 - 24 months at the Laubaleng Community Health Center, Karo Regency in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population is all mothers who have children aged 6 - 24 months, totaling 46 people. The number of samples used was 46 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 46 respondents, there was a relationship between maternal knowledge and the provision of complementary foods for breast milk (MP-ASI) in children aged 6 - 24 months, showing that the p value = 0.023 < 0.05. It is recommended for Health Workers to increase education regarding Complementary Feeding for Breast Milk (MP-ASI).

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Stunting is a condition of failure to thrive in children due to chronic malnutrition that results in a child's height not in accordance with their age. Stunting is not only caused by one factor but by multifactors. This study aims to determine the relationship between maternal education level, maternal knowledge, exclusive breastfeeding, complementary feeding and family economic status with the incidence of stunting in Kelapa Dua Hamlet, Kairatu District, West Seram Regency. The research design used was cross sectional. This study consisted of 100 samples with probability sampling technique. Data analysis was performed with the Chi-square test. The results showed that there was a relationship between the incidence of stunting and the level of maternal education (p-value = 0.000), maternal knowledge (p-value = 0.000), exclusive breastfeeding (p-value = 0.001) and complementary feeding (p-value = 0.000). However, family economic status (p-value = 0.511) has no relationship with the incidence of stunting in toddlers in Kelapa Dua Hamlet, Kairatu District, West Seram Regency.

The provision of nutrition education and healthy food for pregnant women and toddlers is crucial in promoting maternal and child health. This project aims to implement a nutrition education program at the Kemuning 2 Keturen Integrated Health Post (Posyandu) to improve the nutritional knowledge and practices of pregnant women and caregivers of toddlers. The project will involve a series of educational sessions conducted by healthcare professionals and trained volunteers. The sessions will cover topics such as the importance of balanced nutrition during pregnancy, appropriate complementary feeding for infants and young children, and the selection of nutritious foods. Visual aids, interactive discussions, and practical demonstrations will be used to enhance the learning experience. Additionally, a nutritious food distribution program will be implemented to provide pregnant women and caregivers of toddlers with access to healthy and affordable food options. Local partnerships will be established with farmers, suppliers, and community organizations to ensure the availability of fresh and nutritious ingredients. The project's success will be evaluated by assessing the participants' knowledge and practices related to maternal and child nutrition before and after the intervention. Feedback from participants and healthcare providers will also be gathered to assess the program's effectiveness and identify areas for improvement. By providing nutrition education and access to healthy food, this project aims to empower pregnant women and caregivers of toddlers in making informed choices regarding their own and their children's nutrition. Ultimately, it is expected to contribute to improved maternal and child health outcomes in the Kemuning 2 Keturen community.

Background:Breast Milk is a perfect nutrient intended for babies with complete ingredients for baby intake and has antibodies against disease prevention. Even though breastfeeding has many benefits, it turns out that the achievements of exclusive breastfeeding are still lacking. Failure to give exclusive breastfeeding is influenced by many factors, one of which is knowledge. The knowledge possessed by the mother will greatly influence the success and failure of exclusive breastfeeding. Many mothers do not know that one day the baby will experience a phase of accelerated growth from normal conditions which is called a growth spurt. At this time a mother will be worried and think that her breast milk is lacking, so she finally gives formula milk or early solids so that her baby is calm. Writing purpose:The effect of the level of knowledge of a mother who has a baby aged 6-11 months regarding growth spurt on the provision of early complementary food (MPASI) at the Warunggunung Health Center, Lebak Regency, is known in 2022. Research methods:Research method analytic observational case control design. The study sample consisted of 74 mothers with babies aged 6-11 months who were divided into a case group (mothers with babies who were given early solids) and a control group (mothers with babies who were not given early solids) with a ratio of 1:1. Sampling technique with purposive sampling. The instrument used is a questionnaire. Bivariate analysis via Chi-Square test. Research result:In the case group (babies who were given early solids) the majority or as many as 87.5% of mothers had a low level of knowledge, while in the control group (babies who were not given early solids) the majority or 78.6% of mothers had a good level of knowledge. Mothers with a good level of knowledge, only 21.4% of mothers gave Early Solids to their babies and 78.6% of mothers did not give Early Solids. Whereas in mothers with a low level of knowledge, as many as 87.5% gave Early Solids and only 12.5% ​​did not give Early Solids to their babies. There is an influence on the level of knowledge of mothers with babies aged 6-11 months about growth spurts on early complementary feeding (p value = 0.000).