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

Abstract

PurposeThis 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.MethodsA 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.ResultsLFCF 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.ConclusionThe 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.

Promoting Children Growth and Development: A community‐based cluster randomized controlled trial in rural areas of Indonesia

“…These years are a critical developmental period in the formation of personality, sensing, thinking, language, speaking, and social behavior. In Indonesian society, families are strongly integrated into their community's social and cultural life (Susanto, Syahrul, Sulistyorini, Rondhianto, & Yudisianto, ). Health promotion interventions for addressing maternal and child health problem can be implemented through community empowerment in Posyandu or Integrated Health Centers (Sandjaja et al, ) which have been implemented across Indonesia by the government.…”

“…Health promotion interventions for addressing maternal and child health problem can be implemented through community empowerment in Posyandu or Integrated Health Centers (Sandjaja et al, ) which have been implemented across Indonesia by the government. To address nutritional problems of young children, Posyandu provides anthropometrical observation, basic medical treatment, and, sometimes, additional complementary feeding and health education (Susanto et al, ).…”

Pengembangan budaya masak abereng dalam peningkatan status gizi balita stunting di Desa Glagahwero, Kecamatan Panti, Kabupaten Jember dengan pendekatan agronursing

“…Pola pemberian makanan balita bersumber pangan lokal merupakan solusi terbaik dalam meningkatkan gizi anak. 6 Pendekatan agronursing dipilih dalam upaya meningkatkan penggunaan hasil pertanian lokal sebagai sumber makanan bernilai gizi tinggi untuk anak balita. 7 Kegiatan dimulai dengan mendapatkan data balita yang mengalami kekurangan gizi dan ibu dari balita tersebut, serta kader kesehatan yang akan diikutsertakan dalam kegiatan.…”

“…Penelitian terdahulu menyatakan bahwa pemberian sumber pangan lokal dapat menaikkan berat badan anak di masyarakat. 6 Berdasarkan analisis kualitatif, program masak abereng menyebabkan masyarakat belajar menyiapkan makanan anak. Hal tersebut sangat menentukan bagaimana cara pemilihan sumber gizi untuk anak yang tepat 14 karena akan menentukan pertumbuhan dan perkembangan anak dengan ditunjang zat gizi yang bergizi.…”

Mother’s Knowledge Regarding Local-Based Complementary Feeding for Supporting Healthy Indonesia Program with Family Method

“…Inability factor of parents and families to provide the proper diets using locally available food stuffs was largely being attributed to inadequate intake of food materials for children particularly in developing countries (2). It was stated that giving local complementary feeding to infants and children ages 6-24 months is good for improving their nutritional status and it produced a positive impact on the maternal knowledge skills for weaning independently and increased societal participation (3).…”