Improvement in Anthropometric Measurements of Malnourished Children by Means of Complementary Food and Nutritional Education in Fars Province, Iran: A Community-Based Intervention

Abstract

BackgroundChildhood malnutrition could have adverse impacts on the growth of child and eventually on fertility and general economic growth, and still, this issue remains a worldwide priority and a concern. This study aimed to evaluate the effectiveness of the national nutritional interventions program on the improvement and nutritional status of malnourished children children aged 6–59 months.MethodsThis community-based intervention study was conducted with 1288 acute and moderately malnourished children aged 6–59 months referred to health centers. Children received combined nutritional education and counseling with the provision of affordable complementary food for 10 months. Anthropometric measurements were assessed monthly according to the standard protocols.ResultsOur results showed the reduction in the risk of malnutrition among children after nutritional interventions for weight-for-height (WHZ) (P < 0.001), height-for-age (HAZ) (P < 0.001), and weight-for-age (WAZ) (P = 0.008). Total malnourished children indicated improvement in HAZ (<-3 SD: OR = 1.10, P = 0.026), WAZ (<-2SD: OR = 1.21, P < 0.001; <-3SD: OR = 1.60, P < 0.001), and WHZ (<-3SD: OR = 1.10, P = 0.030). Controlling potential confounders (socioeconomic status, childrens' birth supine length, and weight) showed a significant amelioration in HAZ (<-2 SD: OR = 6.20, P = 0.020; <-3 SD: OR = 9, P = 0.003) and WAZ (<-2 SD: OR = 5.85, P = 0.010; <-3 SD: OR = 7.50, P = 0.004). In urban areas, significant amelioration was observed in HAZ (<-3 SD: OR = 1.22, P = 0.010) and WAZ (<-2 SD: OR = 1.24, P = 0.003; <-3 SD: OR = 1.64, P < 0.001). In rural, considerable amelioration was observed in WAZ (<-2 SD: OR = 1.20, P = 0.010; <-3 SD: OR = 1.50, P < 0.001) and WHZ (<-3 SD: OR = 1.20, P = 0.020).ConclusionNutritional training and counseling as well as complementary food intervention among the malnourished children significantly improved the nutritional status of children. So community-based intervention is recommended to reduce the malnutrition among children.

Efektivitas Metode Penyuluhan dan Konseling Dalam Upaya Perbaikan Status Gizi Pada Anak Malnutrisi

“…Sesi pertama diberikan saat bayi usia 6-8 bulan dan sesi kedua diberikan saat bayi usia 9-11 bulan (Sharma et al, 2020). Penelitian di Iran selain memberikan konseling juga menambahkan pemberian makanan tambahan berupa daging unggas 2 kg, daging merah 0.5 kg, telur 1 kg, nasi putih 1.5 kg, yogurt 0.5 kg, makaroni 0.7 kg, minyak 0.9 kg, kacang-kacangan 1 kg, dan kacang merah 1 kg melalui pusat layanan kesehatan dan toko yang sudah ditentukan (Shenavar et al, 2022).…”

“…Terdapat perbedaan yang signifikan sebelum dan sesudah intervensi pada kasus underweight (p<0.001), stunting (p<0.001) dan wasting (p=0.008). perubahan stunting berat, underweight berat, dan wasting berat lebih tinggi jika dibandingkan dengan skor kegagalan perkembangan pada anak (Shenavar et al, 2022). Kunjungan rumah Artikel penelitian yang memberikan intervensi kunjungan rumah kepada responden menunjukkan hasil yang bervariari namun positif.…”