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The Effect of Family Development Session through Family Hope Program on Visit to Integrated Healthcare Center and Child Nutritional Status: A Multilevel Evidence

Nisaus Zakiyah, Endang Sutisna Sulaeman, Eti Poncorini Pamungkasari

Abstract

Background: The Family Development Session through the Family Hope Program (FHP) uses the nutritional status of toddlers as an indicator of the quality of life that reflects the welfare of the community. This study aimed to analyze the effect of the Family Development Session (FDS) through the Family Hope Program on the child nutritional status.

Subjects and Method: This was an analytic observational study with a retrospective cohort design. This study was conducted in Ponorogo, East Java, from December to February 2020. A sample of 200 children was selected by simple random sampling. The dependent variable was child nutritional status. The independent variables were FDS (FHP), maternal education, family income, social support, maternal know­ledge, self-efficacy, complementary food, inte­grated community health center. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression.

Results: Child nutritional status was positively associated with FDS (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.014), high maternal education (b= 1.18; 95% CI= 0.16 to 2.19; p= 0.023), family income (b= 1.11; 95% CI= 0.11 to 2.11; p= 0.030), social support (b= 1.57; 95% CI= 0.46 to 2.67; p= 0.006), maternal knowledge (b= 1.24; 95% CI= 0.26 to 2.23; p=0.013), self effi­cacy (b= 1.38; 95% CI= 0.32 to 2.44; p= 0.011), complementary feeding (b= 1.35; 95% CI= 0.33 to 2.37; p= 0.010), and regular visit to inte­grated community health center (b=1.42; 95% CI= 0.28 to 2.56; p=0.015). Integrated health center had strong contextual effects on the child nutritional status with intra-class corre­lation (ICC) = 33.97%.

Conclusion: Child nutritional status is posi­tively associated with FDS, high maternal education, family income, social support, maternal knowledge, self effi­cacy, comple­men­tary feeding, and regular visit to inte­grated community health center. Integrated health center has strong contextual effects on the child nutritional status.

Keywords: child nutritional status, integrated healthcare center

Correspondence: Nisaus Zakiyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:nizakiyaah@gmail.com. Mobile: +628­5235948995.

Journal of Health Policy and Management (2020), 05(03): 224-234
https://doi.org/10.26911/thejhpm.2020.05.03.08

 

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