National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure
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National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure
Background: Reducing childhood stunting continues to be a priority in Indonesia. In 2015, the National Nutrition Communication Campaign (NNCC) implemented mass media and interpersonal communication (IPC) interventions to disseminate stunting-related information. Whereas other studies of the NNCC’s impact on attitudes and behaviors are currently underway, the purpose of this study was to better understand the factors associated with exposure to the media and IPC components of the NNCC.
Methods: A cross-sectional survey was conducted following the NNCC media and IPC campaigns in rural Indonesia. The final study sample included 1734 mothers. Survey data was collected from each participant by trained interviewers using an electronic tablet. Responses relating to demographic and socioeconomic factors, use of social media and WhatsApp, and electronic device ownership were analyzed. Logistic regression analyses, using SAS version 9.4, were conducted to evaluate the relationship between technology-related items and exposure to both the media and the IPC interventions.
Results: Owning an internet device (OR = 1.643, CI = 1.237–2.183, p < 0.001), accessing social media (OR = 1.81, CI = 1.32–2.49, p < 0.001), using a device to access health information (OR = 2.068, CI = 1.469–2.911, p < 0.0001), and accessing WhatsApp (OR = 1.663, CI = 1.175–2.355, p < 0.05) were positively related to exposure to NNCC messages meant to change behavior to decrease stunting. In separate analyses, owning an internet device (OR = 0.609, CI = 0.459–0.81, p < 0.001) accessing social media (OR = 0.626, CI = 0.459–0.854, p < 0.05), using a device to access health information (OR = 0.528, CI = 0.377–0.740, p < 0.001), and accessing WhatsApp (OR = 0.688, CI = 0.489–0.968, p < 0.05) were negatively related to IPC exposure. Mothers with access to internet-accessible devices were more likely to be exposed to the media campaign component to decrease stunting while mothers without access to internet-accessible devices were more likely to be exposed through IPC.
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