Korean J Pediatr.  2017 Oct;60(10):320-326. 10.3345/kjp.2017.60.10.320.

Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia

• Susanto T
• Syahrul
• Sulistyorini L
• Rondhianto
• Yudisianto A

• KMID: 2393808
• DOI: http://doi.org/10.3345/kjp.2017.60.10.320

Abstract

PURPOSE
This study aimed to evaluate a pilot project of the Nursing Feeding Center "Posyandu Plus" (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6-36 months at community health centers in Indonesia.
METHODS
A quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3.
RESULTS
LFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ (0.96±0.97) and WAZ (0.45±0.72) increased; BAZ increased (1.12±0.93) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by 0.53±0.52, which indicated 57.8% had short stature.
CONCLUSION
The NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

Keyword

Local food-based complementary feeding; Nursing feeding center; Posyandu plus; Nutritional status

MeSH Terms

Child*
Community Health Centers
Female
Humans
Indonesia*
Infant
Infant Nutritional Physiological Phenomena*
Lactation
Mothers
Nursing
Nutritional Status*
Pilot Projects
World Health Organization