Supplemental feeding and nutrition education to reduce stunting in indonesian toddlers - the DASHAT programme Fortified Milk to Prevent Stunting

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Ali Khomsan
Rania Permata Rifayanto
Alya Firdausi
As Syaffa Ammalia Adha
Eka Herdiana
Yulianti Wibowo
Afifah Nuranti
Yusna Afrilda
Nurmala Hasanah


Food consumption, Fortified milk, Nutrition knowledge, Stunting


Background and aim: Dapur Sehat Atasi Stunting (DASHAT) is a flagship programme of the Indonesian National Population and Family Planning Board (BKKBN) to reduce stunting prevalence. Considering the increased prevalence of stunting among Indonesian toddlers, the objective of the study was to evaluate the improvement in the nutritional status, food diversity, and nutrient adequacy of children participating in the DASHAT programme. The study also intended to analyse the nutrition knowledge of mothers of toddlers. Methods: A pre-post experimental design study without control was conducted in Karawang, Indonesia from August 2022 to December 2022. The study involved the participation of approximately 85 toddlers who were underweight, severely underweight, stunted and severely stunted, along with their mothers. Nutrition education was provided for mothers, while supplementary feeding (meals and fortified milk) was given to toddlers, 3 times a week for 3 months. Paired t-test was used to compare baseline and postintervention data. Results: Results indicate a significant increase (p<0.05) in the adequacy levels of energy, protein, fat, and calcium. The nutritional status of study participants postintervention also increased significantly. The prevalence of severely underweight, severe stunting, and severe wasting decreased by 17.4%, 23.1%, and 50%, respectively. Individual dietary diversity score also increased from 4.2±1.5 (baseline) to 5.0±1.6 (end line). Mothers’ nutrition knowledge increased significantly (p<0.05) after participating in the programme. There was a significant increase in the mean nutritional knowledge score from 56.2±13.0 (pre-test) to 70.4±13.8 (post-test). Conclusions: Combined nutrition education intervention and supplemental feeding through the DASHAT programme significantly improved toddlers’ nutritional adequacy, food diversity, and nutritional status as measured by WAZ, HAZ. This programme also helped to improve the nutrition knowledge of mothers, which will have an indirect effect on the sustainable toddler’s nutrition.

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