TY - JOUR
T1 - Enhancing Maternal Caregiving Capabilities Model to Prevent Childhood Stunting
T2 - A UNICEF-Inspired Model
AU - Has, Eka Mishbahatul Marah
AU - Krisnana, Ilya
AU - Efendi, Ferry
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Introduction: The proportion of stunted children in Indonesia is slowly decreasing. In most families, a mother is responsible for child care. The quality of maternal caregiving capability influences the mother’s ability to adopt appropriate childcare practices, which is essential to prevent childhood stunting. Objectives: This study aimed to develop a model to enhance maternal caregiving capabilities in preventing childhood stunting based on the UNICEF model of care. Methods: The study used an analytical observational design involving a pair of mothers and their youngest 6–23-month-old children registered at Posyandu (Community-based Integrated Health Care Center). Six hundred respondents were taken using a cluster sampling technique across seven healthcare centers in Surabaya City, East Java, Indonesia. The independent variables were child, mother, father, and household factors, then maternal caregiving capabilities. The dependent variable was the nutritional behavior to prevent childhood stunting. Data were collected using questionnaires and then analyzed using the Structural Equation Model-Partial Least Squares (SEM-PLS) test. Results: The study found that maternal caregiving capabilities are influenced by child (T-stat 2.605), mother (T-stat 3,800), and household factors (T-stat 10,338). Maternal caregiving capabilities affect stunting preventive behavior in children aged 6–23 months (T-stat 2.493). Household factors were the strongest factor affecting maternal caregiving capabilities. Conclusion: Enhancing maternal caregiving capabilities model can be developed using its constituents, especially perceived physical health, psychological well-being, and decision-making. Household factors, including economic level and food security, were also important. High maternal caregiving capabilities were expected to enable mothers to improve their behavior to prevent childhood stunting (6–23 months).
AB - Introduction: The proportion of stunted children in Indonesia is slowly decreasing. In most families, a mother is responsible for child care. The quality of maternal caregiving capability influences the mother’s ability to adopt appropriate childcare practices, which is essential to prevent childhood stunting. Objectives: This study aimed to develop a model to enhance maternal caregiving capabilities in preventing childhood stunting based on the UNICEF model of care. Methods: The study used an analytical observational design involving a pair of mothers and their youngest 6–23-month-old children registered at Posyandu (Community-based Integrated Health Care Center). Six hundred respondents were taken using a cluster sampling technique across seven healthcare centers in Surabaya City, East Java, Indonesia. The independent variables were child, mother, father, and household factors, then maternal caregiving capabilities. The dependent variable was the nutritional behavior to prevent childhood stunting. Data were collected using questionnaires and then analyzed using the Structural Equation Model-Partial Least Squares (SEM-PLS) test. Results: The study found that maternal caregiving capabilities are influenced by child (T-stat 2.605), mother (T-stat 3,800), and household factors (T-stat 10,338). Maternal caregiving capabilities affect stunting preventive behavior in children aged 6–23 months (T-stat 2.493). Household factors were the strongest factor affecting maternal caregiving capabilities. Conclusion: Enhancing maternal caregiving capabilities model can be developed using its constituents, especially perceived physical health, psychological well-being, and decision-making. Household factors, including economic level and food security, were also important. High maternal caregiving capabilities were expected to enable mothers to improve their behavior to prevent childhood stunting (6–23 months).
KW - UNICEF model of care
KW - child health
KW - maternal caregiving capabilities
KW - preventive behavior
KW - stunting
KW - women’s empowerment
UR - http://www.scopus.com/inward/record.url?scp=85183752268&partnerID=8YFLogxK
U2 - 10.1177/23779608231226061
DO - 10.1177/23779608231226061
M3 - Article
AN - SCOPUS:85183752268
SN - 2377-9608
VL - 10
JO - SAGE Open Nursing
JF - SAGE Open Nursing
ER -