The effect of nutritional assistance “gammarana program” on food acceptance and nutritional status of children in South Sulawesi, Indonesia

• Nadimin NADIMIN ^[2] ; Sirajuddin SIRAJUDDIN ^[2] ; Sella Nur AFIFAH ^[2] ; Veny Hadju ^[1] ; Bohari Bohari ^[3]
  1. [1] Hasanuddin University

     Hasanuddin University

     Indonesia

     
  2. [2] Department of Nutrition, Poltekkes Kemenkes Makassar, Makassar, Indonesia
  3. [3] Department of Nutrition, Universitas Sultan Ageng Tirtayasa, Serang, Indonesia

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• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 45, Nº. 1, 2025, págs. 36-45
• Idioma: inglés
• DOI: 10.12873/451nadimin
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• Resumen

  • Background: Nutritional deficiencies are a public health issue requiring serious attention in Indonesia. This study evaluates the impact of the Gammarana Program on infant and child feeding practices and nutritional status in South Sulawesi. The program includes nutritional education and counseling provided by Village Nutrition Assistants (TPGD) in stunting-prone villages. The study aimed to assess the program’s effectiveness in improving feeding frequency, dietary diversity, food acceptance, and overall nutritional status of children.

    Methods: A pretest-posttest design without a control group was used, involving 114 stunting-prone villages and 2,148 families. Over six months, TPGD provided education and counseling on infant and child feeding, growth monitoring, and supplementary feeding. Data were collected through interviews and anthropometric measurements and analyzed using McNemar’s test to determine changes before and after the intervention, with significance set at p<0.05.

    Results: Results showed a 12.1% increase in feeding frequency, a 27.1% increase in dietary diversity, and a 25.3% improvement in food acceptance. The proportion of underweight children decreased by 1.2%, stunted children by 5.4%, and underweight children by 2.6%. Significant improvements were observed in feeding frequency, dietary diversity, and stunting reduction. Additionally, the increase in average nutritional Z-scores indicated an overall improvement in children's nutritional status.

    Conclusion: The Gammarana Program effectively improved feeding practices and reduced stunting rates in South Sulawesi.

• Referencias bibliográficas
  • Ministry of Health RI. Nutrition Status Survey of Indonesia (SSGI) 2022. Jakarta; 2023.
  • Campbell RK, Aguayo VM, Kang Y, Dzed L, Joshi V, Waid J, et al. Infant and young child feeding practices and nutritional status in Bhutan....
  • Reshma Prasad, Arvind Shukla AG. Feeding practices and nutritional status of children (6‑23 months) in an urban area of Raipur, Chhattisgarh,...
  • Acharya A, Pradhan MR. Determinants of minimum acceptable diet feeding among children aged 6 – 23 months in Odisha , India. 2021;24(12):3834–44.
  • Saaka M, Wemakor A, Abizari AR, Aryee P. How well do WHO complementary feeding indicators relate to nutritional status of children aged 6-23...
  • Tassew AA, Tekle DY, Belachew AB, Adhena BM. Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia:...
  • WHO and UNICEF. Indicators for assessing infant and young child feeding practices. World Health Organization and the United Nations Children’s...
  • Zaragoza Cortes J, Trejo Osti LE, Ocampo Torres M, Maldonado Vargas L, Ortiz Gress AA. Poor breastfeeding, complementary feeding and Dietary...
  • Uwiringiyimana V, Ocké MC, Amer S, Veldkamp A. Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional...
  • García Cruz LM, González Azpeitia G, Reyes Súarez D, Santana Rodríguez A, Loro Ferrer JF, Serra-Majem L. Factors associated with stunting...
  • Dewey KG. Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and...
  • Wright MJ, Bentley ME, Mendez MA, Adair LS. The interactive association of dietary diversity scores and breast-feeding status with weight...
  • Wagris M, Seid A, Kahssay M, Ahmed O. Minimum Meal Frequency Practice and Its Associated Factors among Children Aged 6 – 23 Months in Amibara...
  • Zongo U, Zoungrana SL, Savadogo A, Traoré AS. Nutritional and Clinical Rehabilitation of Severely Malnourished Children with Moringa oleifera...
  • Kementrian PPN. Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi di Kabupaten/Kota. Jakarta: Kementrian PPN/Bappenas; 2022....
  • JJohnson, S. L., Beckford, M., Stein, A. D., Parker, M. E., & Waller GA. Home-based nutrition counseling and its impact on child feeding...
  • Wang, Y., Chen, X., Zhang, Q., Liu, H., & Lee SH. The role of nutrition intervention packages in improving child dietary habits. Global...
  • Ali, D., Smith, J., Williams, K., & Johnson M. The impact of personalized nutrition counseling on dietary diversity in children. International...
  • Black, M., Brown, L., White, S., & Green P. Nutrition intervention packages and child dietary diversity. Global Health Journal. 2021;34(1):45–56.
  • Miller, P., Johnson, R., & Thompson L. Consistent growth monitoring and nutrition interventions: Effects on child dietary diversity. Journal...
  • Jones, S., Smith, A., & Taylor B. Sustained nutrition education and its impact on child feeding practices. Maternal & Child Nutrition....
  • Smith, J., Brown, P., & Davis Q. Long-term effects of nutrition support on child dietary diversity. Public Health Nutrition. 2021;24(3):456–68.
  • Issaka AI, Agho KE, Burns P, Page A, Dibley MJ. Determinants of inadequate complementary feeding practices among children aged 6-23 months...
  • Mokori A, Schonfeldt H, Hendriks SL. Child factors associated with complementary feeding practices in Uganda. South African Journal of Clinical...
  • Gobel P, Ercan A, Bayram S. The Impact of Nutrition Education of Parents on Food Choices of Their Children. Acta Scientifci Nutritional Health....
  • Kirsten K Davison, Janine M Jurkowski, Kaigang Li SK and HAL. A childhood obesity intervention developed by families for families: results...
  • Febriyani PA, Ismail D, Ningsih SR. Improvement of Knowledge, Attitude, and Behavior of Toddler Feeding Through Nutrition Education Video....
  • Maingi M, Kimiywe J, Iron-Segev S. Maternal knowledge in complementary feeding following Baby Friendly Community Initiative in Koibatek, Kenya....
  • Saaka M, Wemah K, Kizito F, Hoeschle-Zeledon I. Effect of nutrition behaviour change communication delivered through radio on mothers’ nutritional...
  • Lori Hoolihan, Andrew Larsen, Yue Liao GFD. Nutrition education intervention in kinder- garteners: Effects on knowledge and behavior”. FASEB...
  • Miller, P., Green, K., & Robinson L. Effectiveness of home-based nutrition counseling in improving children’s dietary practices. Journal...
  • Jones, S., & Bartlett T. Routine growth monitoring and early intervention in child nutrition. Journal of Child Health. 2021;29(4):315–28.
  • Anderson, R., Taylor, J., & Smith L. Impact of nutritional intervention packages on child dietary diversity. Global Health Journal. 2022;34(1):45–56.
  • Lopez, M., Gonzalez, R., & Martinez A. The role of intensive nutrition education in changing children’s eating behaviors. Public Health...
  • Robinson, J., Lee, H., & Walker D. Personalized nutrition support and its impact on child feeding practices. Journal of Family Nutrition....
  • Nisbett, N., Gillespie, S., Haddad, L., & Harris J. Why worry about the politics of childhood undernutrition? World Development. 2020;104:101–18.
  • Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., & Black RE. Evidence-based interventions for improvement...
  • Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black RE. Revisiting maternal and child undernutrition...
  • Sholikhah DM, Rahma A. Perbaikan Status Gizi Balita Melalui Pendampingan Gizi Secara Intensif di Desa Singosari, Gresik. Amerta Nutrition....
  • Sari HP, Natalia I, Sulistyaning AR, Farida F. Hubungan Keragaman Asupan Protein Hewani, Pola Asuh Makan, Dan Higiene Sanitasi Rumah Dengan...
  • Sitti Rahmatiah, Ahmad Ismail, Syamsuddin, Husnul Khatimah, Andi Hardianti PAM. Petunjuk Teknis Program Pendampingan Gizi Melalui Aksi Stop...
  • Rustini SA, Rustam MZA. Pengaruh Pengetahuan, Sikap Ibu dalam Pemberian Taburia pada Balita Stunting Terhadap Berat Badan di Posyandu RW VIII...
  • Saniyah M, Asmaiyah T, Syarifah Has DF. Peningkatan Pengetahuan Gizi Dan Pendampingan Balita Bawah Garis Merah (Bgm) Dan Stunting Di Wilayah...
  • Yadlin H, Nadimin N. Konseling Gizi Untuk Meningkatkan Asupan Gizi Dan Berat Badan Ibu Hamil Kekurangan Energi Kronis Di Kelurahan Adatongeng...
  • Nadimin N, Theresia Dewi KB, Salam A, Adam A. Local snacks and virtual nutrition counseling services increasing growth of stunting children....
  • Wulandari N, Margawati A, Rahfiludin Z. The implementation of nutrition improvement programs for underweight children, wasting and stunting...
  • Christian P, Hurley KM, Phuka J, Kang Y, Ruel-Bergeron J, Buckland AJ, et al. Impact evaluation of a comprehensive nutrition program for reducing...
  • Sudfeld, C. R., Charles McCoy, D., Danaei, G., Fink, G., Ezzati, M., Andrews, K. G., Fawzi WW. "Linear growth and child development in...
  • Dewey, K. G., & Begum K. Long-term consequences of stunting in early life. Maternal & Child Nutrition. 2021;17(3):e13034.
  • Jones, A. D., Ickes, S. B., Smith, L. E., Mbuya, M. N. N., Chasekwa, B., Heidkamp, R. A., ... & Stoltzfus RJ. World Health Organization...
  • Victora, C. G., de Onis, M., Hallal, P. C., Blössner, M., & Shrimpton R. Worldwide timing of growth faltering: Revisiting implications...