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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.

This study aims to determine the relationship between MP-ASI knowledge and undernourished status, the relationship between exclusive breastfeeding history and undernourished status, and the relationship between food intake and undernourished status. This study uses analytical observational research. The method used is survey and observational using a cross sectional approach, namely the researcher takes data on free variables and bound variables in the same time period. The research was conducted from March to May 2024. The place of research was carried out at the Posyandu of Klampok Village, Wanasari District, Brebes Regency. The population in this study is all mothers who have toddlers in Klampok Village, Wanasari District, Brebes Regency aged 1-5 years which totals 122 toddlers. The sample in this study was malnutrition in 13 Posyandu Klampok Village, Wanasari District, Brebes Regency with a purposive sampling technique, namely a sampling technique with certain considerations. The research sample was collected from 13 Posyandu in the object of the study, resulting in the prevalence of undernutrition status of 122 children under five in Klampok Village, Wanasari District, Brebes Regency in 2024 with an average Z score of -3 to <-2 elementary school. The results showed that there was no relationship between maternal knowledge and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.75, there was no relationship between the history of exclusive breastfeeding of toddlers and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.80 and there was a relationship between toddlers' food intake and malnutrition status in toddlers aged 1-5 years with a ρ-value of 0.028.

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.

This study aims to determine the comparison of Instant and Homemade MP-ASI to meet the nutritional status of infants aged 6-12 months in the working area of Cio Maloleo Health Center. Instant MP-ASI is made based on special provisions set by the World Health Organization (WHO). The type of research used in this study is comparative research, namely comparing the mean growth value of children given Homemade MP-ASI and instant MP-ASI. The measurement scale used is a ratio scale used to determine the comparison of Instant and Homemade MP-ASI. This study uses an Independent t-test analysis. Based on the output results that have been presented, it was found that the significance value (2-tailed) is 0.348, which is greater than 0.05. Therefore, it can be concluded that there is no significant difference in the average provision of Instant and Homemade MP-ASI.  

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.

The problem of anemia in adolescents is still a fundamental problem in the world. Anemia is associated with insufficient food intake and low food quality. Factors that correlate with the incidence of anemia in adolescents both in urban and rural areas are age, sex, health status of toddlers (ARI, diarrhea, tuberculosis), physical activity, nutritional status, breakfast, and diet, parenting and so on. This study aims to determine the anemia in adolescents. This study is an observational analytical study with a cross sectional design. This research was conducted in February-March 2024 in Cinta Damai Village, West Tanjung Jabung Regency. The population in this study were all toddlers aged 12-18 years. A sample of 89 people was taken by total sampling technique. Data collection using questionnaire sheets. The data obtained were analyzed univariately, bivariately using chi square and multivariate tests. The results showed that there was a relationship between infectious diseases (p =), toddler diet (p =) and parenting style (p =) with anemia in adolescents because the p value < 0.05. There was no relationship between giving MP-ASI too early and anemia in toddlers with a value of p = 0.647 > 0.05. The results showed that there was a significant relationship between the incidence of anemia during pregnancy with breakfast (p = 0.003), diet (p = 0.001) and head circumference because the p value < 0.05. There is no significant relationship between the incidence of anemia during pregnancy and chest circumference in newborns at the Jambi Kecil Muaro Jambi Health Center in 2023 with p values of 0.001 > 0.05. The most dominant factor affecting anemia in toddlers is the diet of toddlers with a value of p = 0.001 with OR = 13.108. It is hoped that the results of this study can provide information and recommendations to conduct a series of counseling and counseling activities for mothers of toddlers to prevent and overcome the problem of underweight.