Table of Contents
ISRN Nutrition
Volume 2013, Article ID 412145, 10 pages
Clinical Study

Impact of Daily versus Weekly Supply of Locally Produced Ready-to-Use Food on Growth of Moderately Wasted Children on Nias Island, Indonesia

1Department of Gender and Nutrition, Institute of Social Sciences in Agriculture, University of Hohenheim and Center of Gender and Nutrition, Schloss, Museumfluegel, 70593 Stuttgart, Germany
2Institute for Biological Chemistry and Nutrition, University of Hohenheim, 70593 Stuttgart, Germany
3Study Program Nutrition, Faculty of Medicine, University of Brawijaya, Malang 65145, Indonesia
4Church World Service, Jakarta 12560, Indonesia
5Church World Service, New York, NY 10115, USA
6SEAMEO TROPMED Regional Centre for Community Nutrition, University of Indonesia, Jakarta 10430, Indonesia
7Institute of Nutrition, Friedrich-Schiller-University of Jena, 07743 Jena, Germany
8Department of Agricultural Economics and Rural Development, University of Goettingen, 37073 Goettingen, Germany
9Department of Public Health, Food Studies, and Nutrition, David B. Falk College, Syracuse University, NY 13244, USA

Received 20 December 2012; Accepted 8 January 2013

Academic Editors: D. M. Huffman and E. Ropelle

Copyright © 2013 Ratna Chrismiari Purwestri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study reports the outcomes of daily (semi-urban areas) and weekly (remote rural regions) programs for moderately wasted children supplemented with locally produced ready-to-use foods in the form of fortified cereal/nut/legume-based biscuits on Nias Island, Indonesia (RUF-Nias biscuit). Thirty-four children in daily and twenty children in weekly programs aged ≥6 to <60 months with weight-for-height -score (WHZ) ≥ −3 to < −2 SD were recruited (October 2007–June 2008) on Nias and admitted into existing nutrition centers in the Church World Service project area. Individual discharge criterion was WHZ ≥ −1.5 SD. Weight gain of the children in daily and weekly programs was and  g/kg/day, respectively. A higher proportion of children in daily than weekly programs reached target WHZ (76% vs. 35%, ). Weight gain at program discharge/closure was highly predicted ( , ) by compliance to RUF biscuits: high vs. low compliance resulted in a 1.33 (95% CI 0.16 to 1.53) g/kg/day higher weight gain. Compliance and admission in daily programs were significant factors in reducing the risk of not reaching the discharge criterion. However, mothers complained more frequently about time constraints in the daily relative to weekly programs.