Promoting Children Growth and Development: A community‐based cluster randomized controlled trial in rural areas of Indonesia

• Published in: Public health Nursing 2019-07, Vol.36 (4), p.514-524
• Main Authors: Susanto, Tantut, Yunanto, Rismawan Adi, Rasny, Hanny, Susumaningrum, Latifa Aini, Nur, Kholid Rosyidi Muhammad
• Format: Article
• Language: English
• Subjects: Age; Body mass; Body Mass Index; Body size; Body Weight; Caregivers; Caregivers - psychology; Child; Child Development; Child, Preschool; Children; Children & youth; Childrens health; Clinical trials; Clusters; community‐based intervention; development; Education, Nonprofessional - methods; Evidence-based medicine; Female; growth; Health care facilities; Health facilities; Health promotion; Heat affected zone; Humans; Indonesia; Infant; Infant, Newborn; Intervention; Male; Mothers - psychology; Nursing; Parenting - psychology; Randomization; Rural areas; Rural health care; Rural Population - statistics & numerical data; Surveys and Questionnaires; Weight
• ISSN: 0737-1209; 1525-1446
• DOI: 10.1111/phn.12620

Objective This study examined the influence of the Promote Children's Growth and Development (PCGD) intervention on children's growth and development in rural areas in Indonesia. Design and Sample A community‐based nonblinded cluster randomized controlled trial was conducted. Twelve clusters of villages were matched based on population and randomly assigned to intervention group (six clusters and 72 caregivers dyads) or control group (six clusters and 72 caregivers dyads) with inclusion criteria age 0–72 months and attending integrated health centers (Posyandu). The intervention was conducted for 14 weeks with caregivers. Measures The weight‐for‐age Z‐score (WAZ), height‐for‐age Z‐score (HAZ), weight‐for‐height Z‐score (WHZ), and body mass index‐for‐age Z‐score (BAZ) were calculated using World Health Organization Anthro‐Plus version 1.0.3. A prescreening developmental questionnaire (PSDQ) measured the development of children before and after the intervention. Results The proportion of stunting of HAZ, wasting of WHZ, and deviation development of PSDQ were higher in the control group compared to the intervention group, respectively (22.2% vs. 37.5%), (9.7% vs. 4.2%), and (12.5% vs. 2.8%). Caregivers were more confident promoting children's growth and development after attending 12 sessions of the PCGD intervention. Conclusion The 12 session PCGD intervention is effective for promoting the growth and development of children of 0–72 months. The PCGD could be considered for implementation in community health centers.