Food Supplement Treatment for Wasting Children in Indonesia

SEAMEO Regional Centre for Food and Nutrition720 enrolled

Overview

Assessing program efficacy of under five food supplementation (PMT Biscuits) is needed after the first 6 months of exclusive breastfeeding, children were introduced to liquid and semi-solid food. In this phase of food introduction, children ability to accept food supplementation program was still questionable and the efficacy needs to be assessed. Another aspect that needed to be evaluated is assessing the efficacy of food supplementation to improve the nutritional status of wasting children in multiple cities to describe Indonesian geographical and socio-economic diversity (multi center studies). PMT biscuits supplementation intervention is accompanied by educational modules on Infant and Young Child Feeding (IYCF) in order to improve caregiver's knowledge and skills in providing economically affordable and nutritious food for their children. PMT biscuits supplementation evaluation will be assessed at 9 months observations (3 months intervals). The observation will be conducted every month up until the first 3 months then the observation will be continued in 6th and 9th months of observation.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

720

Conditions

Wasting Nutrition Disorder, Child

Interventions

National portion & IYCF counselingOTHER

Eight or twelve pieces of Biscuits supplementation per day as serving size recommendation based on the requirement from Ministry of Health, accompanied by IYCF Counseling emphasizing on local food optimization. The difference in serving size recommendation will be evaluated to see the efficacy of Biscuits supplementation on wasting children age 6-23 months of age

Adjusted portion & local food counselingOTHER

four pieces of Biscuits supplementation per day as serving size recommendation, accompanied by IYCF Counseling. The difference in serving size recommendation will be evaluated to see the efficacy of Biscuits supplementation on wasting children age 6-23 months of age

Eligibility

Sex: ALLMin age: 6 MonthsMax age: 23 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Age 6-17 months (still included in under two years old children during the intervention period) * Underweight children by weight-per-height less than -2.00 * Not received PMT Biscuits at the time of recruitment * Parents agree to follow the research Exclusion Criteria: * Severe wasting (weight for height less than -3 Z-score) * Severe food insecurity households (Severe Household Food Insecurity) * Tuberculosis infection based on anamnesis * The possibility of moving to another city within 6 months of intervention

Outcomes

Primary Outcomes

Nutritional status of wasting children

Anthropometry measurement based on weight-for-length indicator (The WHO Child Growth Standards). Weight will be measured in kilograms using an equivalent quality measurement tool using SECA scales. The measuring instrument to be used in measuring the length of the child is a Shorrboard with a unit of cm, precision of 0.1 cm.

Time frame: Through study completion, an average of 1 year. Measurement on changes in nutritional status from baseline and at third, sixth, & ninth months

Secondary Outcomes

PMT biscuits compliance

The caregiver will be asked to fill a form every day noting on how many biscuits the children eat and its remaining stock for that day. The form will be collected by enumerator while doing regular observation.

Time frame: Through study completion, an average of 1 year. At the first to third months after treatment started, then continued to be observed at the sixth and ninth months from the beginning of treatment.