Linear Programming Approach to Develop Local Specific Food-based Complementary Feeding Recommendation

Study Overview
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Brief Summary
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Stunting and anemia amongst under-two children are attributable to poor nutrient intakes. The study evaluates the effectiveness of nutrition education on local specific food-based complementary feeding recommendation (CFR) to improve dietary patterns and nutritional intakes, as well as reduce stunting and anemia among under-two children.

Official Title
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Utilization of Linear Programming Approach to Develop Local Specific Food-based Complementary Feeding Recommendation for Stunting and Anemia Prevention Among Under-two Children

Conditions
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Stunting, Anemia, Complementary Feeding Recommendation, Linear Programming, Indonesia, Infant and Young Children, Problem Nutrients

Intervention / Treatment
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* Behavioral: Enhanced NE
* Behavioral: Standard NE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 6-11 months old at baseline living in selected area during the study apparently healthy willing to take part in the study and taken venous blood sample by getting signed consent from parents Exclusion Criteria: the child does not present during venous blood sample collection

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 11 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Control Group will receive standard nutrition education package from primary health care. Intervention Group will receive standard nutrition education package from primary health care enhanced with local specific food-based complementary feeding recommendation.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Standard NE<br>Control Group will receive standard nutrition education package from primary health care. | Behavioral: Standard NE<br>* Standard nutrition education package from primary health care<br>|
| Experimental: Enhanced NE<br>Intervention Group will receive standard nutrition education package from primary health care enhanced with local specific food-based complementary feeding recommendation | Behavioral: Enhanced NE<br>* Standard nutrition education package from primary health care enhanced with local specific food-based complementary feeding recommendation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in anthropometric measurements | to measure the change in length measured by using WHO growth standard length-for-Age (Z-Score) before and after intervention period. | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | 
| Change in hemoglobin status | to measure the change in hemoglobin (g/L) before and after intervention | At baseline before intervention (week 0), at endpoint after intervention (week 24) | 
| Change in iron status | to measure the change in serum ferritin (microgram/L) before and after intervention | At baseline before intervention (week 0), at endpoint after intervention (week 24) | 
| Change in zinc status | to measure the change in serum zinc (mg/L) before and after intervention | At baseline before intervention (week 0), at endpoint after intervention (week 24) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in dietary patterns | Dietary patterns will be measured by using Dietary Diversity Score | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | 
| Change in iron intake | iron intake (mg/day) | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | 
| Change in zinc intake | zinc intake (mg/day) | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) | 
| Change in calcium intake | calcium intake (mg/day) | At baseline before intervention (week 0), at midpoint of intervention (week 12), at endpoint after intervention (week 24) |