Anemia, Complementary Feeding Recommendation, Indonesia, Infant and Young Children, Linear Programming, Problem Nutrients, Stunting
Conditions
Brief summary
Stunting and anemia amongst under-two children are attributable to poor nutrient intakes. The study evaluates the effectiveness of nutrition education on local specific food-based complementary feeding recommendation (CFR) to improve dietary patterns and nutritional intakes, as well as reduce stunting and anemia among under-two children.
Interventions
BEHAVIORALEnhanced NE
Standard nutrition education package from primary health care enhanced with local specific food-based complementary feeding recommendation
BEHAVIORALStandard NE
Standard nutrition education package from primary health care
Sponsors
Ministry of Health Republic of Indonesia
Health Polytechnic of Pontianak
Health Polytechnic of Malang
Sambas District Health Office
Malang District Health Office
Indonesia University
SEAMEO Regional Centre for Food and Nutrition
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
Control Group will receive standard nutrition education package from primary health care. Intervention Group will receive standard nutrition education package from primary health care enhanced with local specific food-based complementary feeding recommendation.
Eligibility
Sex/Gender
ALL
Age
6 Months to 11 Months
Healthy volunteers
Yes
Inclusion criteria
* 6-11 months old at baseline * living in selected area during the study * apparently healthy * willing to take part in the study and taken venous blood sample by getting signed consent from parents
Exclusion criteria
* the child does not present during venous blood sample collection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in zinc status | At baseline before intervention (week 0), at endpoint after intervention (week 24) | to measure the change in serum zinc (mg/L) before and after intervention |
| Change in anthropometric measurements | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | to measure the change in length measured by using WHO growth standard length-for-Age (Z-Score) before and after intervention period. |
| Change in hemoglobin status | At baseline before intervention (week 0), at endpoint after intervention (week 24) | to measure the change in hemoglobin (g/L) before and after intervention |
| Change in iron status | At baseline before intervention (week 0), at endpoint after intervention (week 24) | to measure the change in serum ferritin (microgram/L) before and after intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in dietary patterns | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | Dietary patterns will be measured by using Dietary Diversity Score |
| Change in iron intake | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | iron intake (mg/day) |
| Change in zinc intake | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | zinc intake (mg/day) |
| Change in calcium intake | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | calcium intake (mg/day) |
Countries
Indonesia
Outcome results
None listed