Project BADUTA in Indonesia

The BADUTA project focuses on improving maternal, infant feeding and care practices at the community level, strengthening the delivery of nutrition services through the health system and improving access to clean drinking water.

Start: October 2013

Duration: 4 years

 

In Indonesia, where stunting rates are very high, achieving good nutrition requires an integrated approach including appropriate infant and young child feeding practices including exclusive breastfeeding for 6 months, continued breastfeeding for 2 years and timely and appropriate complementary feeding; improved maternal nutrition, access to quality health services; water and sanitation; and other public health measures. Therefore GAIN believes that multiple channels need to be considered in the response to reduce stunting and for contributions of both the public and private sectors to be integrated. This approach forms the basis for the BADUTA project which is build up around the following four components:

1) Behaviour Change: multi-channel behavior change interventions with key messages regarding good infant feeding practices (focusing on exclusive breastfeeding, complementary feeding and healthy snacking) and maternal nutrition (focus still tbd), using a mix of interventions including mass media, community activation and interpersonal communication. It should be noted that messages around hand washing with soap will also be integrated into both the community activation and interpersonal communication.

2) Nutritious Products: improved availability and appropriate use of affordable high-quality nutritious products including fortified complementary foods and micronutrient powders through the market or through the public delivery system in accordance with Codex guidelines and the International Code of Marketing of Breast-milk Substitutes.

3) Health System Strengthening: strengthening the delivery of nutrition services through the health system including health facilities (puskesmas) and village health posts (posyandu), particularly around maternal and child care and nutrition.

4) Clean water: improved access to and demand for clean drinking water through the establishment of a sustainable supply chain of household drinking water filters and storage and community water assessment & education on appropriate household water treatment and safe storage.

We used our research findings to develop a campaign to change people’s behaviour. This included the development of a TV ad in partnership with the Indonesian government. Watch our videos encouraging more women to:
Breastfeed
 
Reduce unhealthy snacking
Feed their children diverse and appropriate complementary foods.

Project Goals

The project aims to improve the nutritional status of  children aged 6 to 24 months old, and show progress on reducing stunting of children under 2 years old by 5%. The impact of the project, including indicators of both relevant behaviours and nutritional status (anthroprometric measures and biomarkers) will be captured in an extensive independent impact evaluation.