The effect of food supplementation on nutritional status of severemalnourishment children aged 12-59 months in Sleman District, Yogyakarta Special Region
Ahmad Lubaid Endy Paryanto Prawirohartono Soeroyo Machfudz
(1*)
(1) 
(*) Corresponding Author
Abstract
Malnutrition and malnourishment are still big problems among children in Indonesia. Age between 12 to 59 months is the most important and critical time periods for the physical and intelligence development of children. Therefore, the children should obtain a good health care and nutrition according to their needs. The purpose of this study was to evaluate the influence of food supplementation on the nutritional status of children in Sleman District, Yogyakarta Special Region. This was a quasi experimental study involving 60 severe malnourishment children between the age of 12-59 months from Sayegan Sub Districts. Body weight and height of the children were measured before and after food supplementation. Food supplements were given for 100 days. The outcome of this study was the change of nutritional status based on Z-score according to the Ministry of Health classification adopted from WHO-NCHS (World Health Organization- US National Center for Health Statistics) recommendations. According to Z score for weight-forage (WAZ), the food supplementation did not improve the nutritional status of children. Although the nutritional status of 25.87% children increased and the mean of WAZ significantly increased 1.04 to be -3.29 after supplementation (p<0.05), the mean of nutritional status of the children was still the worst (WAZ <-3SD). According to Z score height-for-age (HAZ), food supplementation did not improve nutritional status of the children either. The mean of HAZ before food supplementation (-2.53) was not signifantly different compared to after food supplementation (-2.45). Moreover, mean of nutritional status of the children after food supplementation was still short (HAZ <-2SD). According to Z score weight-for-height (WHZ), food supplementation improved the nutritional status in 86.21% children. The mean of WHZ significantly increased 1.13 from -3.35 to be -2.22 after food supplementation (p<0.05) indicating the change of nutritional status from wasted (WHZ <-3SD) to thin (WHZ <-2SD to -3SD). In conclusion, food supplementation on children aged 12-59 months succeeds to improve their nutritional status according to WHZ.
Keywords: poor family - nutritional status - children - severe malnourishment - Z-score
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