.jpg)
Association Between a Locally Based Supplementary Feeding Program and Nutritional Outcomes Among Children Under Five
Abstract
Background: Stunting remains an important public health problem in children under five. Community-based supplementary feeding using locally available ingredients may help improve child nutritional status. Objective: To evaluate the association between a 56-day locally based supplementary feeding program and anthropometric outcomes in children under five at integrated health service posts in North Jakarta. Methods: This retrospective single-group before-and-after study analyzed routinely collected data from a 56-day locally based supplementary feeding program conducted at 21 integrated health service posts in North Jakarta. A total of 63 children under five were initially enrolled in the program; however, 5 were excluded because of incomplete follow-up data, leaving 58 participants for analysis. Anthropometric measurements, including body weight and height, were routinely recorded before and after the program. Changes in anthropometric outcomes and nutritional status were analyzed using paired t-tests, Wilcoxon signed-rank tests, and McNemar tests, selected according to data distribution and variable type. Results: Weight-for-age z-score (WAZ) improved from −1.03 ± 1.05 to 0.69 ± 0.84, while height-for-age z-score (HAZ) improved from 0.64 ± 1.81 to 1.72 ± 1.59. The proportion of children classified as stunted decreased from 6.9% to 1.7% (p = 0.007). Conclusion: Participation in a 56-day locally based supplementary feeding program was associated with significant improvements in anthropometric indicators of nutritional status among children under five in North Jakarta. Further prospective controlled studies are needed to confirm these findings.
Keywords: Anthropometric indicators, Child nutrition disorders, Community health care, Stunting, Supplementary feeding,
Keywords
Full Text:
Subscribers OnlyReferences
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., et al. (2011). Maternal and child undernutrition and overweight in low-income and middle-income countries. https://doi.org/10.1016/S0140-6736(13)60937-X
Cooke, R., Goulet, O., Huysentruyt, K., Joosten, K., Khadilkar, A. V., Mao, M., et al. (2023). Catch-up growth in infants and young children with faltering growth: Expert opinion to guide general clinicians. 77(1), 7–15. https://doi.org/10.1097/MPG.0000000000003784
Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. 24–85.
Dwijayanti, I., Sulistyowati, M., Isaura, E. R., Mutiarani, A. L., & Noor, G. M. S. (2024). Exploring factors influencing complementary feeding practices of mothers with infants aged 6–23 months in Sidoarjo Regency, Indonesia: A qualitative study. *African Journal of Reproductive Health, 28*(10), 25–33. https://doi.org/10.29063/ajrh2024/v28i10s.3
Fahmida, U., Santika, O., Kolopaking, R., & Ferguson, E. (2014). Complementary feeding recommendations based on locally available foods in Indonesia. 35(4), 174–179.
Huynh, D. T. T., Estorninos, E., Capeding, R. Z., Oliver, J. S., Low, Y. L., & Rosales, F. J. (2015). Longitudinal growth and health outcomes in nutritionally at-risk children who received long-term nutritional intervention. https://doi.org/10.1111/jhn.12306
Inzaghi, E., Pampanini, V., Deodati, A., & Cianfarani, S. (2022). The effects of nutrition on linear growth. 1–12.
Ministry of Health of the Republic of Indonesia. (2018). *Laporan nasional Riset Kesehatan Dasar (Riskesdas) 2018*. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas-2018/
Ministry of Health of the Republic of Indonesia. (2024). *Hasil Survei Status Gizi Indonesia 2024*. https://kemkes.go.id
Ministry of National Development Planning of the Republic of Indonesia. (2020). *Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2020–2024*.
Penny, M. E., Creed-Kanashiro, H. M., Robert, R. C., Narro, M. R., Caulfield, L. E., & Black, R. E. (2005). Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: A cluster-randomised controlled trial. 1863–1872. https://doi.org/10.1016/S0140-6736(05)66426-4
Ramadhania, S., Mulyani, E., & Ariestiningsih, E. S. (2025). Evaluation of local supplemental food program for undernourished toddlers. 402–406. https://doi.org/10.35451/jkg.v7i2.2712
Roberts, J. L., & Stein, A. D. (2017). The impact of nutritional interventions beyond the first 2 years of life on linear growth: A systematic review and meta-analysis. *Advances in Nutrition, 8*(2), 323–336. https://doi.org/10.3945/an.116.013938
Semba, R. D., de Pee, S., Sun, K., Sari, M., Akhter, N., & Bloem, M. W. (2008). Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: A cross-sectional study. 371, 322–328.
Thompson, A. L. (2022). Greater male vulnerability to stunting? Evaluating sex differences in growth, pathways and biocultural mechanisms. *Annals of Human Biology, 48*(6), 466–473. https://doi.org/10.1080/03014460.2021.1998622
Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., et al. (2020). Boys are more likely to be undernourished than girls: A systematic analysis of sex differences in undernutrition. https://doi.org/10.1136/bmjgh-2020-004030
Victora, C. G., de Onis, M., Hallal, P. C., Blössner, M., Cesar, A., & Victora, G. (2014). Worldwide timing of growth faltering: Revisiting implications for interventions. https://doi.org/10.1542/peds.2009-1519
Wamani, H., Åstrøm, A. N., Peterson, S., Tumwine, J. K., & Tylleskär, T. (2007). Boys are more stunted than girls in Sub-Saharan Africa: A meta-analysis of 16 demographic and health surveys. *BMC Pediatrics, 7*, 17. https://doi.org/10.1186/1471-2431-7-17
Windhani, K., Hardoyono, F., Ramadhan, D. S., & Firdaus, A. A. (2026). *Stunting di Indonesia: Konsep, sebaran wilayah, dan kebijakan penanganan* (1st ed.). Tahta Media Group.
World Health Organization. (2006). *WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development*. https://www.who.int/publications/i/item/924154693X
Yunitasari, E., Hisyam, A., Faisal, A., Efendi, F., Kusumaningrum, T., Yunita, F. C., et al. (2022). Factors associated with complementary feeding practices among children aged 6–23 months in Indonesia. *BMC Pediatrics*. https://doi.org/10.1186/s12887-022-03728-x
DOI: https://doi.org/10.35308/j-kesmas.v1i2.16306
Refbacks
- There are currently no refbacks.
Managed by Fakultas Kesehatan Masyarakat
Published by Universitas Teuku Umar
Website: http://jurnal.utu.ac.id/jkesmas
Email: jkemas@utu.ac.id 
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.