Universal Journal of Public Health 11(3): 332-341, 2023 http://www.hrpub.org
DOI: 10.13189/ujph.2023.110307
Analysis of Critical Beliefs in Diverse Complementary
Food Intervention Using Planned Behavior Theory
Wida Winarno
1,*
, Sandra Fikawati
1
, Rita Damayanti
1
, Ahmad Syafiq
1
, Marthin Nanere
2
,
Amadeus Driando Ahnan-Winarno
3
1
Faculty of Public Health, Universitas Indonesia, Indonesia
2
Department of Economics, Finance and Marketing, La Trobe Business School, La Trobe University, Australia
3
Indonesian Tempe Movement, Indonesia
Received March 3, 2023; Revised May 21, 2023; Accepted June 11, 2023
Cite This Paper in the Following Citation Styles
(a): [1] Wida Winarno, Sandra Fikawati, Rita Damayanti, Ahmad Syafiq, Marthin Nanere, Amadeus Driando Ahnan-
Winarno , "Analysis of Critical Beliefs in Diverse Complementary Food Intervention Using Planned Behavior Theory,"
Universal Journal of Public Health, Vol. 11, No. 3, pp. 332 - 341, 2023. DOI: 10.13189/ujph.2023.110307.
(b): Wida Winarno, Sandra Fikawati, Rita Damayanti, Ahmad Syafiq, Marthin Nanere, Amadeus Driando Ahnan-
Winarno (2023). Analysis of Critical Beliefs in Diverse Complementary Food Intervention Using Planned Behavior
Theory. Universal Journal of Public Health, 11(3), 332 - 341. DOI: 10.13189/ujph.2023.110307.
Copyright©2023 by authors, all rights reserved. Authors agree that this article remains permanently open access under
the terms of the Creative Commons Attribution License 4.0 International License
Abstract Diverse complementary foods (DCF) play a
significant role in meeting the nutritional needs of infants
aged 6-23 months to avoid malnutrition. However, local
beliefs (e.g., socioeconomic, and religious beliefs) can
determine the success of such public health intervention
programs, especially in highly diverse regions. Selecting
the most critical factors in the community to undergo
intervention programs is also tricky. This study
investigated mothers' beliefs in providing DCF to evaluate
their understanding of the importance of DCF with
purposive sampling. A quasi-experimental study involving
forty-one mothers in a stunting-impacted area of Bogor,
West Java, Indonesia, was undertaken. Data were obtained
via 3-phase interviews conducted by trained enumerators
until saturation condition was reached. For the first phase,
the mother's beliefs were identified using questionnaires
based on the Planned Behavior theory. The second phase
separated the subjects based on their beliefs in giving DCF.
The third phase was determining the significance of
differentiating beliefs between the groups using a statistical
T-test and pinpointing the most significant concerns. Based
on their practical understanding, twenty-two mothers were
classified as DCFs (mothers who made and served DCF
containing fresh ingredients to their infants) and nineteen
as non-DCFs. The seven most differentiating core beliefs
were identified: the factors of economy, children's
pickiness in eating, husband's support, motivation, instant
food consumption, places to shop, and availability of
various foods around the house. This study demonstrated
that distilling critical intervention points, i.e., core beliefs
in complex public health interventions, can be done by
applying the Planned Behavior theory.
Keywords Beliefs, Dietary Diversity, Planned
Behavior, Communication Strategy, Intervention
1. Introduction
Adequate complementary feeding practices are critical
for children's health, growth, and development [1]–[3].
Nutrition intake in the first two years of a baby is vital in
human life [4], [5]. Inadequate food intake at months 6-23
is associated with growth faltering, resulting in increased
risks of stunting [6], [7]. Babies depend on their mother or
caregiver during complementary feeding periods to give
them food [3]. The complementary food period is also a
time for forming eating habits and developing a good
appetite [6]. Caregivers' knowledge, time availability,
household dynamics, and social norms determine infant
and young child feeding practices [8].
The Minimum Dietary Diversity (MDD) and Minimum
Acceptable Diet (MAD) provide guidelines to help
children consume diverse food and are given food at an
adequate frequency [9]. The World Health Organization