Effect of tempe formula supplementation through posyandu on nutritional status of children in South Sulawesi

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Effect of tempe formula supplementation through posyandu on nutritional status of children in South Sulawesi
JURNAL KEDOKTERAN YARSI 12 (2) : 013-022 (2004)
by
Veni Hadju1,2, Nurpuji Astuti Taslim1,3, Abubakar Tawali1,4, and A. Razak Thaha1,2
1Center for Food, Nutrition, and Health, Hasanuddin University, Makassar
2School of Public Health, Hasanuddin University, Makassar
3School of Medicine, Hasanuddin University, Makassar
4School of Agriculture, Hasanuddin University, Makassar


ABSTRACT
Tempe has been known as a highly nutritious food. Tempe Formula (TF) has been developed to increase its bioavailability and micronutrients content. This study was conducted to assess the effects of TF supplementation to children 6-35 months in Posyandu Seruni (S) and Nur Afiat (N). Children (n=40) received 500g TF weekly during three months. In addition, all children attending Posyandu (monthly) received food supplementation program made from TF. A systematic promotion was also undertaken during Posyandu activity. Cadres were first trained to make TF. They having able to make TF, she distributed it to each selected child. Weight was measured before intervention and then monthly during three months. Differences of weight for age (WA z-score) at each exam were analyzed using Student t-test and Chi-square. Result of the study showed that almost all 40 children consumed TF well (83%). Nutritional status improved significantly in those who received TF everyday (p=0.0001). WA z score was -2.13 ± 0.8, -1.84 ± 0.8, -1.61 ± 0.9, and –1.50 ± 0.8, respectively for baseline, exam I, II and III. There were 8 children with severe malnutrition at baseline (less than -3 WA z-score), but only 1 child left at exam 1-III. Number of well nourished children increased at the end of the study (x2=12,8, df=4, p=0,046). The study also showed that, in average, nutritional status of children in each Posyandu (n=50) improved significantly (p=0.009 and p=0.003, respectively for S and N). We conclude that TF, distributed through Posyandu, could be used as a food supplement alternative for controlling malnutrition in South Sulawesi.