Evidence map›Paper›PMID 35488406›Full record

Trial reportMaternal & child nutrition2022

The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia.

Christiana Rialine Titaley, Michael J Dibley, Iwan Ariawan, Anifatun Mu'asyaroh, Bunga Astria Paramashanti, Ashraful Alam, Rita Damayanti, Tran Thanh Do, Elaine Ferguson, Min Kyaw Htet and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 5 countries.

Christiana Rialine TitaleyFaculty of Medicine, Pattimura University, Jl. Ir. M. Putuhena, Poka, Ambon, Indonesia.ORCID 0000-0002-3023-003X
Michael J DibleySydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.ORCID 0000-0002-1554-5180
Iwan AriawanCenter for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Anifatun Mu'asyarohAlian Health Center, District Health Office of Kebumen, Central Java, Indonesia.
Bunga Astria ParamashantiSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.
Ashraful AlamSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.ORCID 0000-0001-7034-1095
Rita DamayantiCenter for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Tran Thanh DoNational Institute of Nutrition, Hai Bà Trưng, Hanoi, Vietnam.
Elaine FergusonDepartment of Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-4673-5128
Min Kyaw HtetSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.ORCID 0000-0001-6417-2942
Mu LiSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.
Aang SutrisnaGlobal Alliance for Improved Nutrition (GAIN), Jakarta, Indonesia.
Umi FahmidaSouth-East Asian Ministers of Education Organization, Regional Center for Food and Nutrition, Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta, Indonesia.ORCID 0000-0003-1403-6242
The University of Sydney · AUUniversity of Indonesia · IDGlobal Alliance for Improved Nutrition · CHLondon School of Hygiene & Tropical Medicine · GBMinistry of Health · IDNational Institute of Nutrition · VNUniversity of Pattimura · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Suboptimal infant young child feeding practices are frequently reported globally, including in Indonesia. This analysis examined the impact of a package of behaviour change interventions on breastfeeding practices in Malang and Sidoarjo Districts, East Java Province, Indonesia. The BADUTA study (which in the Indonesian Language is an acronym for BAwah DUa TAhun, or children aged less than 2 years) was an impact evaluation using a cluster-randomized controlled trial with two parallel treatment arms. We conducted household surveys in 12 subdistricts from Malang and Sidoarjo. We collected information from 5175 mothers of children aged 0-23 months: 2435 mothers at baseline (February 2015) and 2740 mothers at endline (January to February 2017). This analysis used two indicators for fever and diarrhoea and seven breastfeeding indicators (early initiation of breastfeeding, prelacteal feeding, exclusive breastfeeding under 6 months, predominant breastfeeding, continued breastfeeding, age-appropriate breastfeeding and bottle-feeding). We used multilevel logistic regression analysis to assess the effect of the intervention. After 2 years of implementation of interventions, we observed an increased odds of exclusive breastfeeding under 6 months (adjusted odds ratio [aOR] = 1.85; 95% confidence interval [CI]: 1.35-2.53) and age-appropriate breastfeeding (aOR = 1.39; 95% CI: 1.07-1.79) in the intervention group than in the comparison group, at the endline survey. We found significantly lower odds for prelacteal feeding (aOR = 0.52; 95% CI: 0.41-0.65) in the intervention than in the comparison group. Our findings confirmed the benefits of integrated, multilayer behaviour change interventions to promote breastfeeding practices. Further research is required to develop effective interventions to reduce bottle use and improve other breastfeeding indicators that did not change with the BADUTA intervention.

Indexed as

Bottle FeedingBreast FeedingChildFemaleHumansIndonesiaInfantMothersSurveys and Questionnairesbreastfeedinghealth promotioninfant feedingnewborn feeding behavioursnutritionnutrition education

Identifiers

PMID35488406
PMCPMC9218323
OpenAlexW4225145850

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.