Nutrition Assistance, Household Economic Relief, and Maternal Well-Being: A Qualitative Study of the Free Nutritious Meal Program in Bekasi, Indonesia

Indri Widiawati; Veranus Sidharta

doi:10.62383/komunikasi.v3i2.1052

Authors

Indri Widiawati Universitas Bina Sarana Informatika
Veranus Sidharta Universitas Bina Sarana Informatika

DOI:

https://doi.org/10.62383/komunikasi.v3i2.1052

Keywords:

Breastfeeding Mothers, Household Economic Relief, Maternal Well-Being, Nutrition Assistance, Posyandu Cadres

Abstract

This study examines how breastfeeding mothers perceive the Free Nutritious Meal Program (MBG) as nutrition assistance, household economic relief, and support for maternal well-being in Perwira Village, Bekasi, Indonesia. Using a descriptive qualitative case study design, data were collected through in-depth interviews, observation, and documentation involving three breastfeeding mothers and two posyandu cadres. The data were organized and interpreted through NVivo-assisted coding, data condensation, categorization, and thematic analysis. The findings show that beneficiaries perceived MBG positively because it provided ready-to-consume meals, reduced breakfast expenses, saved preparation time, and eased morning domestic burdens. Mothers also associated the program with better nutritional intake, maternal stamina, perceived breast milk quality, infant health, and stunting prevention. Posyandu cadres played a central role in beneficiary identification, information dissemination, food distribution, data updating, and complaint handling. However, several constraints limited program effectiveness, including monotonous menus, inconsistent food freshness, changing distribution schedules, limited nutrition education, and communication gaps. The study concludes that MBG can strengthen maternal and child welfare when food provision is integrated with nutrition literacy, predictable services, dignified communication, and systematic beneficiary feedback. These improvements are essential for sustainable community-based nutrition policy and household resilience.

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References

Alderman, H., & Bundy, D. (2012). School feeding programs and development: Are we framing the question correctly? The World Bank Research Observer, 27(2), 204–221. https://doi.org/10.1093/wbro/lkr005

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617

Bell, Z., Nguyen, G., Andreae, G., Scott, S., Sermin-Reed, L., Lake, A. A., & Heslehurst, N. (2024). Associations between food insecurity in high-income countries and pregnancy outcomes: A systematic review and meta-analysis. PLOS Medicine, 21(9), e1004450. https://doi.org/10.1371/journal.pmed.1004450

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P., Lartey, A., Black, R. E., the Lancet Nutrition Interventions Review Group, & the Maternal and Child Nutrition Study Group. (2013). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 382(9890), 452–477. https://doi.org/10.1016/S0140-6736(13)60996-4

Bitler, M. P., & Currie, J. (2005). Does WIC work? The effects of WIC on pregnancy and birth outcomes. Journal of Policy Analysis and Management, 24(1), 73–91. https://doi.org/10.1002/pam.20070

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low- and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Christian, P., Mullany, L. C., Hurley, K. M., Katz, J., & Black, R. E. (2015). Nutrition and maternal, neonatal, and child health. Seminars in Perinatology, 39(5), 361–372. https://doi.org/10.1053/j.semperi.2015.06.009

Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.

Dewey, K. G. (2016). Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities. Maternal & Child Nutrition, 12(S1), 27–38. https://doi.org/10.1111/mcn.12282

Fagbenro, F. A., Lasswell, T., Rydell, S. A., Oakes, J. M., Elbel, B., & Harnack, L. J. (2022). Perceptions of a food benefit programme that includes financial incentives for the purchase of fruits and vegetables and restrictions on the purchase of foods high in added sugar. Public Health Nutrition, 25(6), 1528–1536. https://doi.org/10.1017/S1368980021001051

French, S. A., Rydell, S. A., Mitchell, N. R., Oakes, J. M., Elbel, B., & Harnack, L. (2017). Financial incentives and purchase restrictions in a food benefit program affect the types of foods and beverages purchased: Results from a randomized trial. International Journal of Behavioral Nutrition and Physical Activity, 14, 127. https://doi.org/10.1186/s12966-017-0585-9

Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs, 34(11), 1830–1839. https://doi.org/10.1377/hlthaff.2015.0645

Hoddinott, J., Behrman, J. R., Maluccio, J. A., Melgar, P., Quisumbing, A. R., Ramirez-Zea, M., Stein, A. D., Yount, K. M., & Martorell, R. (2013). Adult consequences of growth failure in early childhood. The American Journal of Clinical Nutrition, 98(5), 1170–1178. https://doi.org/10.3945/ajcn.113.064584

Hoynes, H., Page, M., & Stevens, A. H. (2011). Can targeted transfers improve birth outcomes? Evidence from the introduction of the WIC program. Journal of Public Economics, 95(7–8), 813–827. https://doi.org/10.1016/j.jpubeco.2010.12.006

Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PLOS ONE, 17(7), e0271509. https://doi.org/10.1371/journal.pone.0271509

Laraia, B. A., Siega-Riz, A. M., Gundersen, C., & Dole, N. (2006). Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. The Journal of Nutrition, 136(1), 177–182. https://doi.org/10.1093/jn/136.1.177

Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). SAGE Publications.

Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T. A., Miranti, R., & Wiyono, V. H. (2021). Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia. PLOS ONE, 16(11), e0260265. https://doi.org/10.1371/journal.pone.0260265

Pasha, V. C., Gerchow, L., Lyndon, A., Clark-Cutaia, M., & Wright, F. (2024). Understanding food insecurity as a determinant of health in pregnancy within the United States: An integrative review. Health Equity, 8(1), 206–225. https://doi.org/10.1089/heq.2023.0116

Ruel, M. T., Alderman, H., & the Maternal and Child Nutrition Study Group. (2013). Nutrition-sensitive interventions and programmes: How can they help to accelerate progress in improving maternal and child nutrition? The Lancet, 382(9891), 536–551. https://doi.org/10.1016/S0140-6736(13)60843-0

Rydell, S. A., Turner, R. M., Lasswell, T. A., French, S. A., Oakes, J. M., Elbel, B., & Harnack, L. J. (2018). Participant satisfaction with a food benefit program with restrictions and incentives. Journal of the Academy of Nutrition and Dietetics, 118(2), 294–300. https://doi.org/10.1016/j.jand.2017.08.010

Santoso, C. L., Sartika, R. A. D., Fikawati, S., Wirawan, F., & Putri, N. P. (2024). Dietary diversity as a dominant factor of energy intake among breastfeeding mothers in Depok City, Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 19(4), 242–248. https://doi.org/10.21109/kesmas.v19i4.1352

Shreffler, K. M., Dressler, C. M., Ciciolla, L., Wetherill, M. S., & Croff, J. M. (2024). Maternal periconception food insecurity and postpartum parenting stress and bonding outcomes. Frontiers in Nutrition, 11, 1275380. https://doi.org/10.3389/fnut.2024.1275380

Syahri, I. M., Laksono, A. D., Fitria, M., Rohmah, N., Masruroh, M., & Ipa, M. (2024). Exclusive breastfeeding among Indonesian working mothers: Does early initiation of breastfeeding matter? BMC Public Health, 24, 1225. https://doi.org/10.1186/s12889-024-18619-2

Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., & Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). SAGE Publications.

Zinga, J., McKay, F. H., Lindberg, R., & van der Pligt, P. (2022). Experiences of food-insecure pregnant women and factors influencing their food choices. Maternal and Child Health Journal, 26(7), 1434–1441. https://doi.org/10.1007/s10995-022-03440-3

Zinga, J., van der Pligt, P., & McKay, F. H. (2024). Views and preferences of food-insecure pregnant women regarding food insecurity screening and support within routine antenatal healthcare. Health Expectations, 27(1), e13956. https://doi.org/10.1111/hex.13956