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ORIGINAL ARTICLE
Korean J Pediatr 2017 October;60(10) :320-326.
Published online 2017 October 15.       
Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia
Tantut Susanto1,6, Syahrul2,6, Lantin Sulistyorini3, Rondhianto4, Alfi Yudisianto5
1,6Department of Family and Community Health Nursing, School of Nursing, University of Jember, Jember, Indonesia
Women's Health and Environmental Child Development, Department of Health Development Nursing, Graduate Course of Nursing Science, Kanazawa University, Kanazawa, Japan
2,6Department of Family and Community Health Nursing, School of Nursing, Hasanudin University, Makassar, Indonesia
3Department of Pediatric Nursing, School of Nursing, University of Jember, Jember, Indonesia
4Department of Medical and Surgical Nursing, School of Nursing, University of Jember, Jember, Indonesia
5National Health Department and Community Health Center Services of Jember, Jember, Indonesia
Corresponding Author: Tantut Susanto ,Tel: +62-33-132-3450, Fax: +62-33-132-3450, Email: tantut_s.psik@unej.ac.id
Copyright © 2017 by The Korean Pediatric Society
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 (0.960.97) and WAZ (0.450.72) increased; BAZ increased (1.120.93) 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 0.530.52, 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.
Keywords: Local food-based complementary feeding | Nursing feeding center | Posyandu plus | Nutritional status
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