E40-E46
Conditions
Interventions
Group 1: Daily programs (distribution and supervision) of RUF-biscuits:
Ready-to-use foods (RUFs) in form of fortified cereal/nut/legume-based biscuits (±500 kcal and 8-10% protein per 100 g) were tes
Sponsors
Institute of Social Sciences in Agriculture, University of Hohenheim
Eligibility
Sex/Gender
All
Age
6 Months to 60 Months
Inclusion criteria
Inclusion criteria: The admission criteria included mildly/moderately wasted children (WHZ =-3 to <-1.5 SD) according to NCHS, aged = 6 months up to < 60 months
Exclusion criteria
Exclusion criteria: no birth defect or disease which could limit the ad libitum food intake.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes were collected before, during and after admission to the program. 1. Anthropometry measurement namely: weight (using hanging scale), height (using length/height board), and mid-upper arm circumference (MUAC) status (using Indonesian Ministry of Health measurement tape) and their improvements. Height and weight were collected prior to admission, during and after program period. During program peridod, in Daily programs: weight of children were measured 2-3x per week, while Weekly programs: 1x per week. Height measurement were done 1x per month for both Daily and Weekly programs. Additionally, MUAC data were collected before admission and after program discharge/closure. 2. Standard deviation score of weight-for-height and height-for-age Z-score and their improvements (analyzing using ENA software, www.nutrisurvey.de). SD score for WHZ and HAZ of the children were derived from anthropometric data (weight and height of the children). Every week, WHZ-score of the children were calculated to assess the nutritional improvement of the children. 3. Length of stay in the program until reaching discharge criterion or at program closure (calculation based on date of admission and date of program discharge/closure). Length of stay data were calculated after program discharge/closure. 4. Haemoglobin (Hb) status and its improvement (using hemocue). Hb finger prick blood collection were collected before admission and after program discharge/closure. 5. Incidence of illness during program period (analysis based on morbidity monitoring questionnaire). Monitoring of morbidity was carried out every day (in daily program) or every week (in weekly program). Calculation of incidence were done after program discharge/closure. Additionally, frequency of implementation during program period 1. On-site RUF biscuit’intake supervision: Daily programs: 1x per day; Weekly programs: 1x per week using questionnaire 2. Recall and monitoring on: -take-home ration of RUF biscuit’int | — |
Secondary
| Measure | Time frame |
|---|---|
| In addition socio-economic condition, program cost (institutional and social investment) was calculated, in-depth interview on the reasons of not reaching discharge criterion and follow-up assessment of those children who reached discharge criterion were performed. Socio economic conditions were gathered using structured questionnaire. Institutional and social investment were calculated from the NGO documentation (financial reports, including material and equipments to run the programs, salary, etc), as well as interviews to mothers, voluntary workers, field officers (for social cost) In-depth interviews were done using guidelines questions for mothers whose children did not reach discharge criteria for investigating the reasons. Approximately 5-6 months after program discharge/closure, children who reached discharge criterion were home visited. Weight and height were measured by weighing (using hanging scale) and measuring the height of the child (using length/height board) to assess the long-term effect of supplementary feeding to nutritional status of the children. | — |
Countries
Indonesia
Contacts
Public ContactVeronika Scherbaum
Institute of Social Sciences in Agriculture, University of Hohenheim
Outcome results
None listed