Influence of Intervention Model of Local Fish Utilization to Adequacy of Energy and Protein in Children in the Coastal City of Bengkulu, Indonesia

Abstract

The nutritional Status of toddlers is determined by food intake and infectious diseases, both factors are very much determined by the role of mother. Smart and skilled mothers are expected to meet the needs of family nutrition, especially toddlers.  The optimal growth period of adaisat an early age, especially the first 2 years of life. This research aims to analyse the influence of nutrition intervention model in the form of local fish utilization education in groups of approximately 10-15 participants per group in the coastal area of Bengkulu. Location of Bengkulu City as the provincial capital is a coastal city that has not optimal the local fish utilization, one of the type of fish thyrissa sp that all year is always there and the price is relatively cheap and easy to obtain. This research is the quasi experiment with random allocation of the study area, which is the working area of the puskesmas located on the beach. The large formula of the minimal sample used is the average mean difference, so that in large need a minimum sample in each group is 28 participants with the criteria of having toddlers aged 12-18 months before the intervention, evaluation of a minimum attendance of 75% meeting. Based on exclusion or exclusion criteria, the baseline sample of the 45 participants intervention group and the 35 participants control. After 2 months of intervention, a large sample intervention group amounted to 35 and controls 32 participants. The statistical analysis used is the paired T-Test and the multivariate OF Anova analysis (MANOVA) with the help of Nutrsurvey application to process recall and Stata 16 results for data analysis. The results showed the energy adequacy rate of the baseline intervention group of 53.95% and endline 70.40%, while the baseline control group was 47.29% and endline 67.22%. The nutritional intervention model affects the change in the energy adequacy rate (sign 0.007) and the protein adequacy rate (sign 0.011), as well as simultaneously affecting the average change in the energy adequacy rate and the protein adequacy rate (sign < 0.05).