Pemulihan gizi buruk rawat jalan dapat memperbaiki asupan energi dan status gizi pada anak usia di bawah tiga tahun

Abstract

Background: New approaches for the management of severe malnutrition such as outpatient rehabilitation complement the existing WHO inpatient protocols.Objective: The objectives of this study was to assess the improvement of energy intake as well as the nutritional status of severe malnourished children during comprehensive outpatient rehabilitation.Method: This study was conducted among severe malnourished children treated as outpatient rehabilitation at Nutrition Clinic at Center of Food and Nutrition Research and Development (CFNRD) in Bogor Indonesia. The design of the study was one group pretest-posttest design and recruitment of sample was taken from health centers in Bogor District. The criteria of sample was severe acute malnutrition based on weight for height Z score (WHZ) <0.000). Nutritional status increased from WHZ score of -3.56 + 0.71 at baseline, became -2.35 + 0.69 and -1.87 + 0.85 after 1 month and 3 months intervention. The proportion of normal child based on weight for height category were 50% after 3 months and 73.9% at the end of out patient rehabilitation. Conclusion: The comprehensive outpatient rehabilitation could significantly improve the energy intake and the nutritional status of severe malnourished children under three years of age.