No abstract

Anthropometric Wall Chart (AWC) TB/U is a tool developed to screen nutritional status that is easy and fast to use for children aged 6-12 years in the population. The accuracy of the tool in measuring stunting can be seen from its validity. This study aims to get the validity of AWC in 3 (three) cities representing the West (Medan), Central (Bandung) and East (Kupang), Indonesia so that the results could be used for stunting screening of elementary school children wider coverage. The study was conducted in a cross-sectional manner with a sample of 270 elementary students from grade 1 to grade 6 in 3 cities (Medan, Kupang, and Bandung) whose nutritional status was measured by using AWC TB / U and TB / U index using microtoise. The results of the study of the use of AWC in Medan showed that there were 20 (22.2%) stunting children, with Se value of 68.8% and Sp value of 87.8%, PPV 55%, and NPV 92.9%. In Kupang, there were 21 (23.3%) children who were stunting with a value of Se 60.0% and Sp 98.2%, and in Bandung, there were 12 (13.3%) stunted children with Se value of 72.7% and Sp 94.9%. Combined in 3 (three) cities get Se value 66.0% and Sp 93.3%, PPV 73.6% and NPV 90.3%. AWC TB / U can be used as a stunting screening tool for diagnosis with the aim of a high Sp value. For students who are detected stunted, further treatment is needed to overcome their nutritional problems.

BACKGROUND: Kindergarten children are prone to be stunted. Currently, most kindergarten school run school meal program. AIM: The aim of the study was to assess the effect of school meal report on the meal performance. METHODS: The study was a Quasi Experiment. Four kindergarten schools were selected; two schools as intervention study and the other two schools as the control group. We enrolled 106 mothers. There were five items of food performance to be scored from 6 to 10. While children in the control group were suggested to bring meals every day without a school meal report. RESULTS: At baseline the range score of five items was not significantly different, the average score was 7.15±0.21 vs 7.09±0.18; p>.05 in the intervention group and control group respectively. However, at end-line the scores meal performance in the study group was significantly improve and made it meaningfully different than in the control group (8.94±0.31 vs 7.52±0.40; p<.05). The meal performance in both groups started at low performance. However, in study group at week four the scores gradually improved to the best performance at week eight till week twelve, while meal performance children in control group had a low performance. CONCLUSION: Meal report is effective in improving meal performance of kindergarten children. Future studies need to find the effect of school meal reports on nutritional status and frequency of sickness.