| Summary: | Background: Many programs have been implemented to prevent and overcome
malnutrition in children under five. Yet, only a few of the programs focuses on
investment value to improve quality of human resources. Investment in nutrition
program such as nutrition education can increase income and minimize flaws in
benefits of every value invested as much as USD 32.30 compared to program of
food subsidy USD 0.90, extra food for children under five USD 1.40 and program
of extra foods for school children USD 2.80. Micronutrient (taburia)
supplementation brings positive effects to growth that leads to improved nutrition
status of children under five.
Objective: To identify difference of intervention on nutrition education in the
program of class of mothers of children under five and micronutrient (taburia)
supplementation to increase of nutrition status in malnourished children under five
of age 25-60 months.
Method: The study was experimental randomized controlled trial non blinded
design carried out within 90 days in 2012. There were 2 groups of intervention,
i.e. group I with nutrition education in class of mothers of children under five as
many as 3 times and extra foods of biscuits 120 g/day within 90 days, group II
was supplemented with micronutrient (taburia) 1 gram/2days and biscuits 120
g/day within 90 days. Samples 66 malnourished children under five confirmed
through assessment of index weight/height taken through random allocation
technique using random table. Assessment of nutrition intake (energy, protein,
Vitamin A, Vitamin C, Fe and zinc) used interview method of multiple food recall
24 hours and nutrition status of children under five used anthropometric
measurement. Data analyzed using univariate and bivariate technique.
Result: There was significant difference between intervention in nutrition
education and taburia supplementation to increase of nutrition status of children
under five (z-score of index of weight/height) (p=0.04), weight change (p=0.04)
and there was no significant difference in nutrition intake (p>0.05) and height
change of malnourished children under five (p=0.07). Intervention of health
education contributed to increase of nutrition status of children under five (z-score
of index of weight/height) 1,20+0,63 SD, weight increase 1.22±0.62 kg and height
increase 1.45±0.80 cm, whereas intervention of micronutrient supplementation
contributed to increase of nutrition status children under five (z-score of index of
weight/height) 0,84+0,75 SD, weight increase 0.88±0.72 kg and height 1.08±0.78
cm.
Conclusion: Intervension of nutritional education was superior as compared with
administration of taburia in improving nutritional status (z-score index for
weight/height), body weight and height of malnourished children under five years
old.
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